HKX-14552-72361
1 vaccination
2 coded responses
12 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 834 / ID
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · NauseaAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Irritable bowel syndrome, Menstruation normal, Pain in extremity, Pruritus — Feeling: Fair · Be unable to workFree text: Irritable bowel, slight pain and itch in arm, and menstruationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-20
- 2021-07-02
-
2021-12-30
Survey response — 12 months, dose 1MedDRA: Office visit, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): Regular clinic visitMedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 14, dose 1
Symptoms: Irritable bowel, slight pain and itch in arm, and menstruation
Release 10 — 12 months, dose 1
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 | Office visit | · | · | ✓ |
| SD | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SD | Menstruation normal | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release