XUC-10106-44955
4 vaccinations
15 coded responses
51 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 195 / PA
- Registered
- 2021-05-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-28
Registered in v-safe
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2021-05-28
Dose 1 — Moderna
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2021-05-29
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Good · Site: Pain, SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-30
- 2021-05-31
- 2021-06-01
- 2021-06-02
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2021-06-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-06-04
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2021-06-11
Survey response — 14 day, dose 1MedDRA: Hypersensitivity, Pre-existing disease — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-18
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2021-06-25
Dose 2 — Moderna
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2021-06-25
Survey response — 0 day, dose 2MedDRA: Paranasal sinus hypersecretion, Sinus disorder — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-26
Survey response — days 1–6 daily, dose 2MedDRA: Flushing, Paranasal sinus hypersecretion — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-06-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-06-29
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-09
- 2021-07-16
- 2021-07-23
- 2021-07-31
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2021-08-06
Survey response — 42 day, dose 2MedDRA: Abdominal distension — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-12-24
Survey response — 6 month, dose 2MedDRA: Epistaxis, Sinus disorder — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
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2022-03-04
Dose 3 — Moderna
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2022-03-04
Health check-in — 0 day, dose 3Feeling: Good · Site: Pain, Swelling · Joint pains, NauseaAdult check-in
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2022-03-06
Survey response — days 1–6 daily, dose 3MedDRA: Sinus disorder — Feeling: Good · Site: Pain · Muscle or body aches, Abdominal painMedDRA releases: 2024-11 · check-in answers available
- 2022-03-07
- 2022-03-09
- 2022-03-10
- 2022-03-11
- 2022-03-19
- 2022-03-26
- 2022-04-01
- 2022-04-08
- 2022-04-15
- 2022-06-04
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2022-09-02
Survey response — 6 month, dose 3MedDRA: Malaise, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
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2022-12-13
Dose 4 — Moderna
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2022-12-13
Health check-in — 0 day, dose 4Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2022-12-14
Survey response — days 1–6 daily, dose 4MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaMedDRA releases: 2024-11 · check-in answers available
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2022-12-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-12-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-12-17
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea, Sinus disorder, Sinus pain, Skin erosion — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
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2022-12-18
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea, Sinus disorder — Feeling: Good · Headache, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
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2022-12-19
Survey response — days 1–6 daily, dose 4MedDRA: Paranasal sinus discomfort, Paranasal sinus inflammation, Rhinorrhoea, Sinus disorder, Sinus pain — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
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2022-12-20
Survey response — 7 day, dose 4MedDRA: Sinus disorder — Feeling: Good · Headache, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-12-27
- 2023-01-03
- 2023-01-10
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2023-01-17
Survey response — 35 day, dose 4MedDRA: Myalgia, Nausea, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2023-01-24
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2023-03-16
Survey response — 3 month, dose 4MedDRA: Abdominal distension, Abdominal pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2023-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-28 | Moderna | |
| 2 | 2021-06-25 | Moderna | No |
| 3 | 2022-03-04 | Moderna | No |
| 4 | 2022-12-13 | Moderna | No |
Free text
Release 8
Systemic reaction (other): Sinus drainage causing sore throat.
Release 9
Symptoms: Sinus allergy symptoms have been worse since they flared the same night after getting my first dose in the morning, but they're manageable since I take antihistimines for my Mast Cell Disorder.
Systemic reaction (other): Sinuses flaring up & draining.
Systemic reaction (other): Sinus flare up w/ excessive drainage. Also flushing.
Symptoms: A lot of bloating, have no idea the cause as i haven't changed anything. Doubt it's related to vaccination at this point, but mentioning just in case!
Release 10
Symptoms: Sinus issues & severe bloody noses.
Release 11
Systemic reaction (other): Sinus issues, improved over yesterday though. Gas pain too, i think - not something i usually have to deal w/.
Release 12
Symptoms: My family was sick, started w/ raging sore throats & went on w/ Covid symptoms from there but none of us took a test & were able to watch each other & care for ourselves at home.
Systemic reaction (other): Heartburn/Reflux
Systemic reaction (other): Sinuses have flared up, raw, pain, runny nose etc.
Systemic reaction (other): Continued sinus issues & of/on runny nose.
Systemic reaction (other): Sinus issues, pain/pressure, inflammation, runny nose
Systemic reaction (other): Sinus issues.
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 | Abdominal distension | ✓ | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus inflammation | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Sinus pain | · | · | ✓ |
| SRO | Skin erosion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release