UHZ-11435-63910
3 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 757 / TX
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
-
2021-01-13
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-16
Survey response — day 14, dose 1MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms - stuffiness followed by runny nose. Fatigue. Aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-23
-
2021-01-28
Dose 2 — Moderna
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Good · Fatigue or tiredness, NauseaFree text: Numbness in handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-11
- 2021-03-13
- 2021-07-29
-
2021-09-08
Dose 3 — Moderna
- 2021-10-24
- 2021-12-08
- 2022-09-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-09-08 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 14, dose 1
Symptoms: Cold symptoms - stuffiness followed by runny nose. Fatigue. Aches.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness in hands
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release