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T4F-28884-87275

3 vaccinations 1 coded response 39 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
076 / NJ
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
D4M-15472-22733 Child or adolescent in my care · Female · 2022-07-05

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-12
    Dose 1 — Moderna
  3. 2021-02-12
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Polymenorrhoea — Feeling: Good
    Free text: Menstrual period started 4 days early with heavy bleeding and clotting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Dose 2 — Moderna
  14. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-09
    Dose 3 — Moderna
    Co-administered: Flu
  30. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  32. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-16
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-23
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-30
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-06
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-13
    Health check-in — day 35, dose 3
    Feeling: Poor
    Adult check-in
  40. 2022-01-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-10
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-06-09
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-12-11
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna
32021-12-09Moderna Flu

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Menstrual period started 4 days early with heavy bleeding and clotting.

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
SROAbnormal menstrual clots ✓ ✓ ✓
SROHeavy menstrual bleeding ✓ ✓ ✓
SROPolymenorrhoea ✓ ✓ ✓

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

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