UGP-22783-40091
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 770 / TX
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-05-14
Survey response — day 28, dose 1MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sinusitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus infection. Cough, congestion, runny nose and sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-21
Dose 2 — Moderna
- 2021-05-21
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-06-04
-
2021-06-11
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolFree text: Sore throat. Runny nose. Congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-20
Survey response — day 28, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Head cold. Sore throat. Congestion. Runny nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-25
- 2021-07-02
- 2021-08-20
-
2021-11-19
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — day 28, dose 1
Symptoms: Sinus infection. Cough, congestion, runny nose and sore throat.
Release 9 — day 21, dose 2
Symptoms: Sore throat. Runny nose. Congestion.
Release 9 — day 28, dose 2
Symptoms: Head cold. Sore throat. Congestion. Runny nose.
Release 10 — 6 months, dose 2
Symptoms: Pregnancy
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release