ZU6-26119-95238
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 776 / TX
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Colitis ulcerative, Functional gastrointestinal disorder, Pain in extremity, Pre-existing disease, Unevaluable event — Feeling: Fair · Diarrhea · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have Ulcerative Colitis. I have been having Intestinal problems for months. My arm is a little sore · Healthcare visit (other): I have to make a appointment to see my GastroenterologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-05
- 2021-03-08
- 2021-03-11
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Colitis ulcerative, Fatigue, Gastrointestinal disorder, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: I have Ulcerative Colitis. I was very tired and had digestive issues Tuesday night and was very tired Wednesday. After I rested all Wednesday night I felt better ThursdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
-
2021-04-20
Survey response — day 21, dose 2MedDRA: Colitis ulcerative, Pre-existing disease — Feeling: FairFree text: My Ulcerative Colitis is flaring upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — day 28, dose 2MedDRA: Colitis ulcerative, Pre-existing disease — Feeling: GoodFree text: Ulcerative Colitis is flaring up. I have to watch what I eatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-06-29
-
2021-09-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-28
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have Ulcerative Colitis. I have been having Intestinal problems for months. My arm is a little sore
Healthcare visit (other): I have to make a appointment to see my Gastroenterologist
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I have Ulcerative Colitis. I was very tired and had digestive issues Tuesday night and was very tired Wednesday. After I rested all Wednesday night I felt better Thursday
Release 7 — day 21, dose 2
Symptoms: My Ulcerative Colitis is flaring up
Release 8 — day 28, dose 2
Symptoms: Ulcerative Colitis is flaring up. I have to watch what I eat
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Colitis ulcerative | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Colitis ulcerative | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Functional gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release