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
-
2021-05-24
Registered in v-safe
-
2021-05-24
Dose 1 — Moderna
-
2021-05-24
Survey response — 0 day, dose 1MedDRA: 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 professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-24
Report sent to call center — 0 day, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-28
Survey response — days 1–6 daily, dose 1MedDRA: Oral candidiasis, Stomatitis, Unevaluable event — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-28
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-29
Survey response — 3 month, dose 1MedDRA: Mallory-Weiss syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-29
Report sent to call center — 3 month, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-24 | Moderna |
Call center
| Reported | Outcome | VAERS-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Mallory-Weiss syndrome | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Oral candidiasis | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release