5JU-16825-65378
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 786 / TX
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-19
-
2021-03-24
Dose 2 — Moderna
-
2021-03-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood — Feeling: Good · Fatigue or tirednessFree text: Uncharacteristically sadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-25
-
2021-09-23
Survey response — 6 months, dose 2MedDRA: Menstruation delayed, Menstruation irregular, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My period is irregular now (it has been like clockwork since I first started my period way back in 6th grade) and then it started early on August 1st and was very different in color and flow, and then it didn't come again until today September 23 · Healthcare visit (other): I had to go in to rule out pregnancy, diabetes and cancer but ni explanation could be given for the over a month and a half late period.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-27
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Uncharacteristically sad
Release 9 — 6 months, dose 2
Symptoms: My period is irregular now (it has been like clockwork since I first started my period way back in 6th grade) and then it started early on August 1st and was very different in color and flow, and then it didn't come again until today September 23
Healthcare visit (other): I had to go in to rule out pregnancy, diabetes and cancer but ni explanation could be given for the over a month and a half late period.
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 |
|---|---|---|---|---|
| HCVO | Menstruation delayed | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release