XUW-24073-78001
4 vaccinations
2 coded responses
27 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Erythema, Headache — Feeling: Good · Site: Pain, RednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — 21 day, dose 2MedDRA: Injection site pain, Pain — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-09-09
Dose 3 — Moderna
- 2021-10-25
- 2021-12-09
- 2022-03-10
-
2022-04-07
Dose 4 — Moderna
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
- 2022-10-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Free text
Release 4
Systemic reaction (other): I had a bad headache 2/27/21, as well as chills. Still had veey mild symotoms on 2/28/21. Also, a lot of pain in left shoulder. Redness and arm to touch 27, 28. Much better 3/1/21 and today. Happy to be done with Petco Park. Ended up walking in for both appts. Effucient inside, streets outzide a real mesz. Especially 1)29/21 first appt.
Release 5
Symptoms: Pain at injection site. Constant dull ache. No rash or redness. Very mild pain, but seems odd so long after vax.
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release