XUC-16817-77344
4 vaccinations
7 coded responses
29 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 897 / NV
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
-
2021-03-02
Survey response — 0 day, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Myalgia, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · 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
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-06
- 2021-04-13
-
2021-04-21
Survey response — 21 day, dose 2MedDRA: Dry skin, Injection site erythema, Injection site pruritus, Rash macular — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-07-01
- 2021-09-28
-
2021-11-02
Dose 3 — Moderna
- 2022-03-30
-
2022-05-20
Dose 4 — Moderna
-
2022-05-23
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Fatigue, Headache, Pain — Feeling: Good · Site: ItchingMedDRA releases: 2024-11 · check-in answers available
- 2022-05-24
-
2022-05-25
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-05-27
Survey response — 7 day, dose 4MedDRA: Fatigue, Pruritus — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
Free text
Release 4
Systemic reaction (other): No. I did take 2 Tylenol an hour after receiving the vaccine.
Release 5
Systemic reaction (other): A little bit of a runny nose, dizziness/light headed sensation, especially when I bend over. Slight muscle ache in my upper shoulder and neck on the side I got the vaccine.
Release 7
Symptoms: Finally the egg sized red blotch near the shot site turned tan. I have felt itchy all over for the last couple weeks especially on my arms and back, not the blotchy area though. Im 69 and have drier skin than I used too and allergies. (So ???)
Release 11
Systemic reaction (other): On 5/21 I had severe body aches, joint pain, slight headache and extreme fatigue
Systemic reaction (other): Only had fatigue and body aches the day after my vaccine.
Systemic reaction (other): I have had itches all over my body the last couple days. No rash or hives just itchy. Maybe this could be related to the vaccine. (?)
Systemic reaction (other): Still tired and have itching all over.
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 | Dry skin | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release