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XUE-22715-74962

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 3 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
964
Registered
2021-05-24
Relationship
Self
Race
Multiracial
Ethnicity
N/A

Timeline

  1. 2021-05-24
    Registered in v-safe
  2. 2021-05-24
    Dose 1 — Moderna
  3. 2021-05-24
    Survey response — 0 day, dose 1
    MedDRA: Fatigue, Office visit, Somnolence — Feeling: Good · Site: Itching · Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-05-24
    Report sent to call center — 0 day, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-05-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral candidiasis, Stomatitis, Unevaluable event — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-05-28
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-08-29
    Survey response — 3 month, dose 1
    MedDRA: Mallory-Weiss syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  8. 2021-08-29
    Report sent to call center — 3 month, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-08-31

Vaccinations

DoseDateManufacturerCo-administered
12021-05-24Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-24 Unsuccessful
2021-05-28 Unsuccessful
2021-08-29 Unsuccessful

Free text

Release 8

Systemic reaction (other): Nothing just peachy. First dose got a bit tired mild. System s of sleepiness. Also the nice young women an md women should at lease have a smile on their faces and just a little humor would be absolutely nice and realaxig for the people that need it you know sir. Or man. But over all very pleasent to be very short no chit chat no then about possible side affects. Bit gone real fast for me. N-No line like or tv at all. Invie got Lupidi andibody or lupus. GOD BLESS AMERICA AND YOU !!! Thank you safer way Id eve right wy
Healthcare visit (other): Walked in with appointment

Systemic reaction (other): Caugh and got thrush and sores all ove my mouth
Healthcare visit (other): None

Release 9

Symptoms: Mallory wiess syndrome

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
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDMallory-Weiss syndrome ✓ · ✓
SROFatigue ✓ ✓ ✓
SROOral candidiasis ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓

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