XUV-12337-21148
2 vaccinations
9 coded responses
17 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 847 / UT
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
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2021-01-20
Dose 1 — Moderna
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Feeling abnormal, Heart rate increased, Somnolence — Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Nausea, Pain in extremity — Feeling: Good · Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-24
- 2021-01-25
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2021-01-29
Survey response — 7 day, dose 1MedDRA: Dry throat — Feeling: Good · FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-03
Survey response — 14 day, dose 1MedDRA: Body temperature increased, Pyrexia — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-12
Survey response — 21 day, dose 1MedDRA: Nephrolithiasis, Pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-18
Survey response — 28 day, dose 1MedDRA: Breast pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-23
Dose 2 — Moderna
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2021-02-23
Health check-in — 0 day, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling jittery, Palpitations, Tremor — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-08-24
Survey response — 6 month, dose 2MedDRA: Ophthalmological examination abnormal, Pre-existing disease, Skin odour abnormal, Vision blurred, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-08-24
Report sent to call center — 6 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-19
- 2021-11-23
- 2022-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-24 | Unsuccessful |
Free text
Release 2
Systemic reaction (other): Bloated abdomen Brain fog Left arm feels like its going to fall asleep. Heart beating too fast
Systemic reaction (other): I didnt get to report in for the 2nd day. On the 2nd day I still felt tired and a queasy tummy. My arm only halfway hurt. Today, the 3rd day, I am back to my normal self again.
Release 3
Systemic reaction (other): Dry throat
Symptoms: A very low-grade fever today. My normal temperature is 97.8 and my fever today registered at 98.4.
Release 4
Symptoms: 2 kidney stones painful, but they passed
Symptoms: Left breast soreness
Systemic reaction (other): Jittery shaky all day. Too much walking around caused my heart to race several times. Felt tired, caught my breath. Good thing I dont do drugs, or Id be a goner.
Systemic reaction (other): Yesterday I felt good, too. Heart raced a little.
Release 9
Symptoms: Blurry vision in both eyes, new annoying floaters in my left eye, failed my eye exam, this happened on the first day I was sick in December 2020.Sometimes I smell terrible like sweaty armpits, onions, a musty smell. It lasts for a week at a time.
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 | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Ophthalmological examination abnormal | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Skin odour abnormal | ✓ | · | ✓ |
| SD | Vision blurred | ✓ | · | ✓ |
| SD | Vitreous floaters | ✓ | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release