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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

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Survey response — 0 day, dose 1
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Myalgia, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-30
    Dose 2 — Moderna
  11. 2021-03-30
    Health check-in — 0 day, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  15. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  16. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  17. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  18. 2021-04-06
    Health check-in — 7 day, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  19. 2021-04-13
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-21
    Survey response — 21 day, dose 2
    MedDRA: Dry skin, Injection site erythema, Injection site pruritus, Rash macular — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  21. 2021-07-01
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-28
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-02
    Dose 3 — Moderna
  24. 2022-03-30
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-05-20
    Dose 4 — Moderna
  26. 2022-05-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Fatigue, Headache, Pain — Feeling: Good · Site: Itching
    MedDRA releases: 2024-11 · check-in answers available
  27. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-05-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: Fatigue, Pain — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  29. 2022-05-26
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pruritus — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  30. 2022-05-27
    Survey response — 7 day, dose 4
    MedDRA: Fatigue, Pruritus — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  31. 2022-06-03
    Health check-in — 14 day, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-06-10
    Health check-in — 21 day, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-06-17
    Health check-in — 28 day, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-06-24
    Health check-in — 35 day, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-11-02Moderna No
42022-05-20Moderna 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

FieldPreferred term2021-092023-042024-11
SDDry skin ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SROArthralgia · · ✓
SRODizziness ✓ ✓ ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROMyalgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain · · ✓
SROPruritus · · ✓
SRORhinorrhoea ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release