XU9-12246-46116
3 vaccinations
4 coded responses
40 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-15
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-12-18
Dose 3 — Moderna
-
2021-12-18
Health check-in — 0 day, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Abnormal behaviour, Angina pectoris, Medical counselling, Restlessness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2021-12-19
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Angina pectoris, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2021-12-20
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Angina pectoris, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Angina pectoris, Lymphadenopathy — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
-
2021-12-22
Call successfulDoes not wish to fill out VAERS report
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
- 2022-01-29
- 2022-03-19
- 2022-06-18
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-12-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-19 | Successful | Does not wish to fill out VAERS report |
| 2021-12-20 | Successful 2021-12-22 |
Does not wish to fill out VAERS report |
Free text
Release 10
Systemic reaction (other): My heart was hurting. I felt delicious. I was running into my walls. Was very very restless. .
Healthcare visit (other): I emailed my doctor. All through the nice I was contemplating calling 911. I pushed through.
Systemic reaction (other): Enlarged, painful lymph nodes on collarbone and neck. I'm experiencing heart pain as well
Systemic reaction (other): Lymph node on collarbone and neck is sore and enlarged. Occasional heart pain.
Systemic reaction (other): Enlarged lymph node on collarbone. Occasional heart pain
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 | Medical counselling | · | · | ✓ |
| SRO | Abnormal behaviour | · | · | ✓ |
| SRO | Angina pectoris | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Restlessness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release