XUC-20248-54054
5 vaccinations
4 coded responses
55 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 657 / MO
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint painsAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-06-19
Survey response — 3 month, dose 2MedDRA: Discharge, Ear pain, Headache, Pyrexia, Sinusitis, Throat irritation — Feeling: Poor · 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
-
2021-06-19
Report sent to call center — 3 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
-
2021-06-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-20
-
2021-10-22
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Body temperature increased, Chills, Eye pain, Headache, Oedema peripheral, Pain in extremity — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-10-29
Health check-in — 7 day, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-06
-
2022-01-21
Survey response — 3 month, dose 3MedDRA: Breakthrough COVID-19, COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-01-21
Report sent to call center — 3 month, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-06-17
Dose 4 — Moderna
-
2022-06-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Headache, Muscle or body achesAdult check-in
- 2022-06-23
- 2022-06-24
- 2022-07-03
- 2022-07-08
- 2022-07-17
- 2022-07-24
- 2022-07-31
- 2022-09-18
-
2022-11-04
Dose 5 — Moderna
-
2022-11-07
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-11-08
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-18
- 2023-02-03
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-20 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-06-17 | Moderna | No |
| 5 | 2022-11-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-19 | Successful 2021-06-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-21 | Successful 2022-01-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9
Symptoms: Sinus infection, drainage irritating throat, ear aches, headache, fever. On Levaquin, Prednisone plus two nasal sprays and two inhalers. (Was on nasal sprays and Resp inhalers before this acute infection.)
Release 10
Systemic reaction (other): Severe Headache and Eye ache the evening I had my shot and the next day. Also had edema in bilateral legs and severe pain bilateral legs below knees to ankles. Next day had chills and low grade temp. By third day was feeling fine.
Symptoms: Diagnosed with Covid. My husband and I both had Moderate vaccinations and boosters. We both have breakthrough with positive Covid tests. Cough, sore throat, fatigue
Healthcare visit (other): COVID testing
Release 12
Systemic reaction (other): Sneezing, Runny nose
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Breakthrough COVID-19 | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Discharge | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release