W79-25553-78422
4 vaccinations
3 coded responses
31 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 431 / OH
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4QT-90229-26986
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-13
-
2021-04-19
Dose 2 — Moderna
-
2021-04-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
-
2021-05-03
Survey response — day 14, dose 2MedDRA: Headache, Menstrual disorder — Feeling: GoodFree text: My period came early and I had a headache for two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
-
2021-05-17
Survey response — day 28, dose 2MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder, Pain — Feeling: FairFree text: I am having a second, heavy, painful menstrual cycle in less than 3 weeks. Its incredibly abnormal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-20
-
2021-12-09
Dose 3 — Moderna
- 2022-04-19
-
2022-09-28
Dose 4 — ModernaCo-administered: Flu
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-12-28
Survey response — 3 months, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: I am 10.5 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-12-09 | Moderna | No |
| 4 | 2022-09-28 | Moderna | Flu |
Free text
Release 8 — day 14, dose 2
Symptoms: My period came early and I had a headache for two days.
Release 8 — day 28, dose 2
Symptoms: I am having a second, heavy, painful menstrual cycle in less than 3 weeks. Its incredibly abnormal for me.
Release 12 — 3 months, dose 4
Symptoms: I am 10.5 weeks pregnant
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 | Dysmenorrhoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ○ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release