HTU-61603-97919
4 vaccinations
3 coded responses
41 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 776 / TX
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2022-01-04
Dose 3 — Moderna
-
2022-04-12
Survey response — 12 months, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2022-07-05
Survey response — 6 months, dose 3MedDRA: COVID-19 — 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 · Emergency room or emergency department visitFree text: I contracted Covid in MayMedDRA releases: 2024-11 · check-in free text available
-
2022-07-05
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2022-07-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-09
Dose 4 — Moderna
-
2022-07-09
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Fever · Muscle or body achesAdult check-in
-
2022-07-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-07-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-12
-
2022-07-13
Survey response — days 1–6 daily, dose 4MedDRA: Dyspnoea — Feeling: Good · Fatigue or tirednessFree text: Shortness of BreathMedDRA releases: 2024-11 · check-in free text available
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-10-09
- 2023-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2022-01-04 | Moderna | No |
| 4 | 2022-07-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 11 — 12 months, dose 2
Symptoms: Shortness of breath
Release 12 — 6 months, dose 3
Symptoms: I contracted Covid in May
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Shortness of Breath
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 | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release