UBP-20538-05038
3 vaccinations
3 coded responses
7 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 030 / NH
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Registered in v-safe
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-02
-
2021-07-29
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: PoorFree text: A coldMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-28
-
2021-12-06
Dose 3 — Moderna
-
2022-06-06
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis, Unevaluable event — Feeling: GoodFree text: Non Covid cold/sinusMedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
Survey response — 12 months, dose 3MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Was sick for a couple weeks. Non COVID.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: A cold
Release 11 — 6 months, dose 3
Symptoms: Non Covid cold/sinus
Release 12 — 12 months, dose 3
Symptoms: Was sick for a couple weeks. Non COVID.
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 | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release