XUU-31854-10973
5 vaccinations
12 coded responses
45 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
-
2021-01-19
Survey response — 0 day, dose 1MedDRA: Injection site discomfort — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-02-02
Survey response — 14 day, dose 1MedDRA: Injection site erythema — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-09
-
2021-02-16
Dose 2 — Moderna
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-08-18
-
2021-10-26
Dose 3 — Moderna
-
2021-10-26
Survey response — 0 day, dose 3MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-27
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-06
Dose 4 — Moderna
-
2022-05-01
Survey response — 6 month, dose 3MedDRA: Cough, Influenza virus test negative, Nasopharyngitis, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-05-19
- 2022-07-06
-
2022-10-06
Survey response — 6 month, dose 4MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-12-07
Dose 5 — Moderna
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2022-12-07
Survey response — 0 day, dose 5MedDRA: Injection site pain — Feeling: Good · Site: Redness, SwellingMedDRA releases: 2024-11 · check-in answers available
-
2022-12-08
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Hypersomnia, Nausea — Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-12-10
-
2022-12-11
Survey response — days 1–6 daily, dose 5MedDRA: Injection site erythema — Feeling: Good · Site: Redness · NauseaMedDRA releases: 2024-11 · check-in answers available
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2022-12-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Redness · Fatigue or tiredness, NauseaAdult check-in
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2022-12-13
Survey response — days 1–6 daily, dose 5MedDRA: Decreased appetite — Feeling: Fair · NauseaMedDRA releases: 2024-11 · check-in answers available
- 2022-12-14
- 2022-12-22
- 2022-12-28
- 2023-01-05
- 2023-01-11
- 2023-01-19
-
2023-03-09
Survey response — 3 month, dose 5MedDRA: Nasopharyngitis — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-12-07 | Moderna | No |
Free text
Release 2
Systemic reaction (other): SLIGHTLY sore if I touch the bandage. MILD.
Systemic reaction (other): 5 inches below the injection a 1 inch stripe of redness which is slowly disappearing. Mild soreness disappeared after 48 hours.
Release 3
Symptoms: REAPPEARANCE of my red mark on Tuesday, Jan.26. Same place as previous but larger. 5 inches below injection. First an itch then slightly tender. 5 inches long and 4 inches wide mark. Slowly diminishing and no itch the last couple of days, not tender. cut off by CDC
Release 10
Systemic reaction (other): I did not take any medication. The headache was short lived.
Systemic reaction (other): I experienced fatigue the same day I received the 3rd shot and the day after, Oct. 25,26
Release 11
Symptoms: Severe cold with sore throat. Started on Tuesday, April 19. I had fever 100.7 and 98.9. On Tuesday, April 26 at (b)(6) I was tested NEGATIVE for Covid, Strep throat and the flu. I still have some dry cough and am still not myself but better.
redacted (b)(6)
Release 12
Symptoms: My test was positive for Covid on Tuesday, Sept. 27. Had a sore throat for 3-4 days and blew my nose a lot. I felt tired. It's better now and I'm going outside for a walk and errands today, Oct.6.
Systemic reaction (other): Mild tenderness at the injection site.
Systemic reaction (other): Yesterday evening about 8 hours after my injection I experienced severe chills. Mild nausea until this morning. I have slept a lot.
Systemic reaction (other): The redness by the injection is nearly gone.
Systemic reaction (other): My appetite could be better. Walked in the park for 30 minutes.
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release