XUC-92198-01842
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-02-05
Survey response — 14 day, dose 1MedDRA: Axillary mass, Limb discomfort, Tenderness, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-05
Report sent to call center — 14 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-14
- 2021-02-21
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort — Feeling: Fair · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-03
-
2021-03-04
Survey response — 7 day, dose 2MedDRA: Ear discomfort — Feeling: Fair · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-05-27
Survey response — 3 month, dose 2MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-27
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-14
- 2021-08-28
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-05 | Unsuccessful | |
| 2021-05-27 | Unsuccessful |
Free text
Release 3
Symptoms: I have a grape sized lump in the armpit of the arm where I received the vaccination. There is some tenderness and discomfort. I did not have this before the vaccination.
Healthcare visit (other): I have an appointment for a mammogram and ultrasound to check the lump
Release 4
Systemic reaction (other): Ear pressure/discomfort
Release 5
Systemic reaction (other): Pressure and discomfort in ears
Release 8
Symptoms: Continued enlarged lymph nodes in armpit of arm where I received the vaccine- mammogram and ultrasound did not show any signs of cancer. Lymph nodes went down in size over time but were still enlarged a couple months after 2nd dose
Healthcare visit (other): Radiology- mammogram and ultrasound
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Axillary mass | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release