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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

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-03-27
    Dose 2 — Moderna
  3. 2021-11-19
    Dose 3 — Moderna
  4. 2022-10-05
    Dose 4 — Moderna
    Co-administered: Flu
  5. 2022-10-07
    Registered in v-safe
  6. 2022-10-08
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2022-10-09
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2022-10-10
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2022-10-11
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2022-10-12
    Health check-in — day 7, dose 4, dependent
    Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2022-10-21
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  12. 2022-11-02
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  13. 2022-11-09
    Survey response — day 35, dose 4, dependent
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Throat irritation — Feeling: Poor
    Free text: Congestion, painful scratchy throat, cough
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-11-16
    Survey response — day 42, dose 4, dependent
    MedDRA: Cough, Fatigue, Respiratory tract congestion, Throat irritation — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Scrat hy throat, congestion, cough, tired
    MedDRA releases: 2024-11 · check-in free text available
  15. 2023-01-04
    Survey response — 3 months, dose 4, dependent
    MedDRA: Chills, Cough, Feeling hot, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school
    MedDRA releases: 2024-11
  16. 2023-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna No
22021-03-27Moderna No
32021-11-19Moderna No
42022-10-05Moderna Flu

Free text

Release 12 — day 35, dose 4, dependent

2022-11-09

Symptoms: Congestion, painful scratchy throat, cough

Release 12 — day 42, dose 4, dependent

2022-11-16

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

FieldPreferred term2021-092023-042024-11
SDChills · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDFeeling hot · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test positive · · ✓
SDThroat irritation · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release