JRA-90593-59893
3 vaccinations
2 coded responses
27 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 076 / NJ
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
475-15942-71485
Child or adolescent in my care · Female · 2022-07-01
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-04-15
Registered in v-safe
- 2021-04-15
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Frequent bowel movements — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Increased bowel movementsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm — Feeling: Good · Site: PainFree text: Eye twitchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-16
- 2021-10-15
- 2022-04-16
-
2022-04-29
Dose 3 — Moderna
- 2022-04-29
-
2022-04-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-05-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-06
- 2022-05-13
- 2022-05-27
- 2022-06-04
- 2022-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2022-04-29 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Increased bowel movements
Systemic reaction (other): Eye twitch
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Frequent bowel movements | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release