ZW6-13554-10015
4 vaccinations
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
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2021-04-27
Dose 2 — Moderna
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2021-05-01
Registered in v-safe
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Muscle or body achesAdult check-in
- 2021-05-03
- 2021-05-06
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2021-05-18
Survey response — day 21, dose 2MedDRA: Rash, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Not sure if its related to vaccine or coincidence but I have a skin rash on hands/inside of forearms since Friday. Its not really itchy or bothersome..almost looks like heat rash but its not. I got covid test Sunday to be safe and was negatiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-25
Survey response — day 28, dose 2MedDRA: Heavy menstrual bleeding, Rash — Feeling: GoodFree text: Rash on arms is gone now, but my period lasted 11 days. Came at normal time but lasted 2x whats normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-10-27
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2021-11-13
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-04-27
- 2022-05-10
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2022-09-08
Dose 4 — ModernaCo-administered: Tetanus
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2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · NauseaFree text: Acid refluxMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Survey response — day 14, dose 4MedDRA: Menstruation irregular — Feeling: GoodFree text: Period came early. Same thing that happened after my 2nd moderna shot.MedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Survey response — day 21, dose 4MedDRA: Heavy menstrual bleeding, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Still have period. Lost track of how long it's been. Believe 10ish days which is very abnormal (usually 3-5 days max) but no other negative symptoms. Happened after 2nd moderna shot too. Went back to normal by next cycle.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-13 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-08 | Moderna | Tetanus |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 21, dose 2
Symptoms: Not sure if its related to vaccine or coincidence but I have a skin rash on hands/inside of forearms since Friday. Its not really itchy or bothersome..almost looks like heat rash but its not. I got covid test Sunday to be safe and was negati
Release 8 — day 28, dose 2
Symptoms: Rash on arms is gone now, but my period lasted 11 days. Came at normal time but lasted 2x whats normal for me.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Acid reflux
Release 12 — day 14, dose 4
Symptoms: Period came early. Same thing that happened after my 2nd moderna shot.
Release 12 — day 21, dose 4
Symptoms: Still have period. Lost track of how long it's been. Believe 10ish days which is very abnormal (usually 3-5 days max) but no other negative symptoms. Happened after 2nd moderna shot too. Went back to normal by next cycle.
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 | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release