XUV-31925-43931
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 934 / CA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
-
2021-03-26
Survey response — 0 day, dose 1MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
- 2021-04-30
-
2021-05-07
Survey response — 14 day, dose 2MedDRA: Insomnia, Poor quality sleep — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-22
-
2022-04-23
Survey response — 12 month, dose 2MedDRA: Office visit, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-04-23
Report sent to call center — 12 month, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-26
-
2022-04-26
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-23 | Successful 2022-04-26 |
Participant prefers to complete VAERS report online |
Free text
Release 6
Systemic reaction (other): No
Release 8
Symptoms: A few days ago I could not sleep. I lay in bed all night, and fell asleep around 4 am. My alarm went off at 5. I was not tired at all, and I usually need 8-9 hours of sleep to feel OK. Not sure it was the vaccine, but this has never happened before. cut off by CDC
Release 11
Symptoms: I was very itchy. The itch traveled around my body. Sometimes my wrists, then palms, then ankles, then inside my ears, my stomach, my back, etc. My doctor said use Motrin. I did for 2 days. Feel 100% better now! Love my vaccine! Itch was wirth it!
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 | Insomnia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Poor quality sleep | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release