XEC-10970-22691
3 vaccinations
3 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 971 / OR
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Neck pain — Feeling: Good · Site: PainFree text: Pain in neck/earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Survey response — day 28, dose 2MedDRA: Vocal cord disorder, Vocal cord paralysis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Possible cord paralysis from upper endoscopy, unrelated to covid vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
- 2021-03-20
- 2021-05-08
- 2021-08-09
-
2021-11-10
Dose 3 — Moderna
-
2021-11-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-06
- 2022-05-13
-
2022-11-10
Survey response — 12 months, dose 3MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe flu symptoms began on 11/1 and continue for 10 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-06 | Successful 2021-11-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-11-10 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in neck/ear
Release 5 — day 28, dose 2
Symptoms: Possible cord paralysis from upper endoscopy, unrelated to covid vaccine
Release 12 — 12 months, dose 3
Symptoms: Severe flu symptoms began on 11/1 and continue for 10 days.
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 | Influenza | · | · | ✓ |
| SD | Vocal cord disorder | ✓ | · | ✓ |
| SD | Vocal cord paralysis | ○ | ✓ | ○ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release