N8K-10094-82275
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 280 / NC
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZKC-93717-67734
Child or adolescent in my care · Male · 2021-12-20
U98-31611-47565
Child or adolescent in my care · Male · 2021-12-20
REZ-25701-44630
Child or adolescent in my care · Male · 2022-07-12
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Moderna
-
2021-04-09
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 21, dose 1MedDRA: Menstruation delayed — Feeling: GoodFree text: My period was extremely late. I think it has come now, but not certain. I was due April 10th... the same day I received the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Dose 2 — Moderna
- 2021-05-11
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · HeadacheAdult check-in
- 2021-05-14
- 2021-05-17
- 2021-05-20
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-08-10
- 2021-11-09
-
2021-12-13
Dose 3 — Moderna
-
2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Disorientation — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feel disorientedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, SwellingFree text: Swollen lymph node in my left armpit- very tender. I received my booster in my left arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: RednessFree text: Lymph node still slightly swollen under left armpit. Not as tender as it was yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-22
- 2021-12-27
- 2022-01-03
- 2022-01-12
- 2022-01-17
- 2022-01-28
- 2022-03-14
- 2022-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-12-13 | Moderna | No |
Free text
Release 8 — day 21, dose 1
Symptoms: My period was extremely late. I think it has come now, but not certain. I was due April 10th... the same day I received the vaccine.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feel disoriented
Systemic reaction (other): Swollen lymph node in my left armpit- very tender. I received my booster in my left arm.
Systemic reaction (other): Lymph node still slightly swollen under left armpit. Not as tender as it was yesterday.
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 |
|---|---|---|---|---|
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SRO | Disorientation | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release