UAS-16281-49478
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 402 / KY
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
9VD-22816-36409
Child or adolescent in my care · Male · 2021-12-06
VHS-16363-12349
Child or adolescent in my care · Male · 2021-12-06
Timeline
-
2021-04-26
Registered in v-safe
-
2021-04-26
Dose 1 — Moderna
-
2021-04-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Swelling · Fatigue or tiredness, NauseaAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extremely tired for no reason at allMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-24
Dose 2 — Moderna
-
2021-05-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-27
- 2021-05-28
- 2021-05-30
-
2021-05-31
Health check-in — day 7, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-30
- 2021-07-05
-
2021-08-23
Survey response — 3 months, dose 2MedDRA: Hot flush — Feeling: FairFree text: A rush of heat that goes from my waist to my feet and then back to jormalMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-22
-
2021-12-02
Dose 3 — Moderna
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Fair · Site: Swelling · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-08
- 2021-12-11
- 2021-12-16
- 2021-12-23
- 2021-12-30
-
2022-01-06
Survey response — day 35, dose 3MedDRA: COVID-19, Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: COVID and pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Survey response — day 42, dose 3MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-03-03
-
2022-09-15
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-26
- 2022-10-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-05-24 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | Flu |
Free text
Release 8 — day 21, dose 1
Symptoms: Extremely tired for no reason at all
Release 9 — 3 months, dose 2
Symptoms: A rush of heat that goes from my waist to my feet and then back to jormal
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Shortness of breath
Release 10 — day 35, dose 3
Symptoms: COVID and pregnancy
Release 10 — day 42, dose 3
Symptoms: Cough
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release