UV3-10144-24380
4 vaccinations
3 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 774 / TX
- Registered
- 2022-10-07
- Relationship
- Adult relative or friend
- Guardian
- Y82-21957-93612
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-27
Dose 2 — Moderna
-
2021-11-19
Dose 3 — Moderna
-
2022-10-05
Dose 4 — ModernaCo-administered: Flu
-
2022-10-07
Registered in v-safe
-
2022-10-08
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-09
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-10
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-11
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-12
Health check-in — day 7, dose 4, dependentFeeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-11-02
-
2022-11-09
Survey response — day 35, dose 4, dependentMedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Throat irritation — Feeling: PoorFree text: Congestion, painful scratchy throat, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-16
Survey response — day 42, dose 4, dependentMedDRA: Cough, Fatigue, Respiratory tract congestion, Throat irritation — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Scrat hy throat, congestion, cough, tiredMedDRA releases: 2024-11 · check-in free text available
-
2023-01-04
Survey response — 3 months, dose 4, dependentMedDRA: Chills, Cough, Feeling hot, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | No |
| 2 | 2021-03-27 | Moderna | No |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-05 | Moderna | Flu |
Free text
Release 12 — day 35, dose 4, dependent
Symptoms: Congestion, painful scratchy throat, cough
Release 12 — day 42, dose 4, dependent
Symptoms: Scrat hy throat, congestion, cough, tired
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release