XU9-29047-41908
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 718 / AR
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-13
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-17
- 2021-01-18
-
2021-01-25
Survey response — 14 day, dose 1MedDRA: Fatigue, Oropharyngeal pain, Paranasal sinus hypersecretion, Productive cough, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-25
Report sent to call center — 14 day, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-06-03
-
2021-06-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-09
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats — Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2021-10-26
- 2021-10-27
- 2021-10-29
-
2021-11-05
Survey response — 14 day, dose 3MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2022-01-21
Survey response — 3 month, dose 3MedDRA: Dysphonia, Fatigue, Pyrexia — Feeling: Poor · 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 visitMedDRA releases: 2024-11 · check-in answers available
-
2022-01-21
Report sent to call center — 3 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-24
-
2022-04-22
Survey response — 6 month, dose 3MedDRA: Blood pressure increased, Dyspnoea exertional, Heart rate increased — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-25 | Successful 2021-06-03 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-21 | Unsuccessful |
Free text
Release 2
Systemic reaction (other): Yesterday I had a very runny nose all day and a slight sore throat. It was gone when I woke up this morning.
Symptoms: Received vaccine on 1-11. Developed sore throat on 1-19, and fever on 1-20. Had extreme fatigue and fever until 1-22. Got tested for Covid on 1-21 with negative results. Now on antibiotic due to green drainage and productive cough.
Release 10
Systemic reaction (other): Severe night sweats since Friday night
Symptoms: I have days of extreme fatigue, but today I feel good
Symptoms: Fever fatigue raspy voice
Release 11
Symptoms: I am short of breath with exertion and have weird episodes with elevated blood pressure and heart rate that last sometimes 20-30 minutes.
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 |
|---|---|---|---|---|
| SD | Blood pressure increased | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release