XU8-44972-04411
5 vaccinations
9 coded responses
47 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 730 / OK
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
-
2021-01-08
Survey response — 0 day, dose 1MedDRA: Dysgeusia, Pain in jaw, Paraesthesia oral — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-02
Dose 2 — Moderna
-
2021-02-02
Survey response — 0 day, dose 2MedDRA: Paraesthesia oral — Feeling: Fair · Joint pains, Muscle or body aches, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
-
2021-02-23
Survey response — 21 day, dose 2MedDRA: Pre-existing disease — Feeling: PoorMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-02
Survey response — 28 day, dose 2MedDRA: Arthralgia, Condition aggravated, Pre-existing disease, Raynaud's phenomenon, Systemic lupus erythematosus — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-09
Survey response — 35 day, dose 2MedDRA: Pre-existing disease, Raynaud's phenomenon — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-16
Survey response — 42 day, dose 2MedDRA: Raynaud's phenomenon — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-04
- 2021-08-03
-
2021-08-14
Dose 3 — Moderna
- 2021-08-19
- 2021-08-20
- 2021-08-21
- 2021-08-30
- 2021-09-04
- 2021-09-11
- 2021-09-20
- 2021-09-25
- 2021-11-13
-
2022-02-12
Survey response — 6 month, dose 3MedDRA: COVID-19, Fatigue, Headache, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-02-12
Report sent to call center — 6 month, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-21
-
2022-04-01
Dose 4 — Moderna
- 2022-08-14
-
2022-09-04
Dose 5 — Moderna
- 2022-09-04
- 2022-09-06
- 2022-09-08
- 2022-09-09
- 2022-09-11
- 2022-09-20
-
2022-09-25
Survey response — 21 day, dose 5MedDRA: Arthralgia, Fatigue, Pre-existing disease, Systemic lupus erythematosus — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-10-02
- 2022-10-11
- 2022-10-16
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2022-12-04
Survey response — 3 month, dose 5MedDRA: Peroneal nerve palsy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
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2022-12-04
Report sent to call center — 3 month, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-08-14 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-12 | Successful 2022-12-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-04 | Successful 2022-12-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 1
Systemic reaction (other): Metalic taste in mouth. Tingling tongue, jaw pain
Release 3
Systemic reaction (other): Tingly mouth and tongue
Release 4
Symptoms: I have lupus and i am having pain and fatigue pretty bad today
Symptoms: Having lupus flare- frequent raynauds flare, joint pain.
Release 5
Symptoms: Lupus- worsening raynauds
Symptoms: Worsening raynauds
Release 11
Symptoms: I got covid, headache and sore throat, fatigue dx 12/30/21
Release 12
Symptoms: I have lupus and i am having a little flare- fatigue/joint pain.
Symptoms: I developed foot drop in my left foot.
Healthcare visit (other): MRI, labwork, EMG
Free-text releases are not linked to a specific 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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peroneal nerve palsy | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Raynaud's phenomenon | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release