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XUL-29506-91469

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
787 / TX
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Health check-in — 0 day, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injected limb mobility decreased, Insomnia, Pain in extremity — Feeling: Fair · Site: Pain · 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. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Dose 2 — Moderna
  9. 2021-04-13
    Health check-in — 0 day, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  12. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  15. 2021-04-20
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-27
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-04
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-11
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-18
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-25
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-13
    Health check-in — 3 month, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-10-12
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-13
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna

Free text

Release 5

Systemic reaction (other): Pain in arm significant, did not want to activate muscle and used my other arm to move the injected arm to reduce pain. Difficult to sleep. Can't raise arm above shoulder level without pain and needing to stop.

Systemic reaction (other): Not as intense as yesterday but can use my arm for small activities without pain. Was able to sleep but got a headache at night and in the morning that went away midday

Systemic reaction (other): Much better today, feel more normal. Still have a slight headache.

Release 7

Systemic reaction (other): Insomnia

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
SROHeadache ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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