HDS-30513-86771
5 vaccinations
2 coded responses
57 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5KC-24704-56597
Child or adolescent in my care · Female · 2023-05-10
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Menstruation irregular — Feeling: Good · Site: PainFree text: My period came two weeks early which has never happened in 15 years. I dont know if thats related or just a weird coincidenceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-15
- 2021-06-03
- 2021-09-01
-
2021-11-11
Dose 3 — Moderna
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, DiarrheaAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-24
- 2022-02-10
-
2022-04-29
Dose 4 — Pfizer-BioNTech
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-12
- 2022-07-29
-
2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-25
-
2023-03-24
Survey response — 6 months, dose 5MedDRA: Mastitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-24
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-03-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My period came two weeks early which has never happened in 15 years. I dont know if thats related or just a weird coincidence
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 | Mastitis | · | · | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release