HKL-11302-96595
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 907 / CA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
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2021-04-23
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-30
-
2021-05-07
Survey response — day 14, dose 1MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Pelvic pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pelvic pain and heavy period with large blood clotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
-
2021-07-23
Survey response — 3 months, dose 1MedDRA: Pregnancy test positive — Feeling: FairFree text: Recent positive pregnancy test . 12 weeks by last lmp.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Dizziness
Release 8 — day 14, dose 1
Symptoms: Pelvic pain and heavy period with large blood clots
Release 9 — 3 months, dose 1
Symptoms: Recent positive pregnancy test . 12 weeks by last lmp.
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 | Abnormal menstrual clots | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Pelvic pain | ✓ | ✓ | ✓ |
| SD | Pregnancy test positive | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release