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R94-59852-94397

2 vaccinations 1 coded response 1 check-in 1 free-text entry 0 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
198 / DE
Registered
2022-01-31
Relationship
Other
Guardian
ZZS-14331-21735
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-04-06
    Dose 2 — Moderna
  3. 2022-01-31
    Registered in v-safe
  4. 2022-04-07
    Survey response — 12 months, dose 2, dependent
    MedDRA: COVID-19, Dizziness, Menstrual disorder, Mood altered — Feeling: Fair · Be unable to work or attend school
    Free text: Lightheadedness. Changes in her cycle. Definitely changes in her mood and how her hormone birth control medicine works. Had Covid in Feb '22
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna No
22021-04-06Moderna No

Free text

Release 11 — 12 months, dose 2, dependent

2022-04-07

Symptoms: Lightheadedness. Changes in her cycle. Definitely changes in her mood and how her hormone birth control medicine works. Had Covid in Feb '22

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDDizziness · · ✓
SDMenstrual disorder · · ✓
SDMood altered · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release