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XUZ-22780-10946

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
860 / AZ
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-12
    Dose 1 — Moderna
  3. 2021-02-12
    Health check-in — 0 day, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sinus headache — Feeling: Good · Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-19
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-26
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-05
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Dose 2 — Moderna
  14. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  17. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-18
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-28
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-01
    Survey response — 21 day, dose 2
    MedDRA: Fatigue, Rhinitis allergic — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  22. 2021-04-08
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-15
    Health check-in — 35 day, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-04-22
    Survey response — 42 day, dose 2
    MedDRA: Diarrhoea, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  25. 2021-06-11
    Survey response — 3 month, dose 2
    MedDRA: Myalgia — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  26. 2021-09-09
    Survey response — 6 month, dose 2
    MedDRA: Diarrhoea, Muscle tightness, Nausea — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available
  27. 2022-03-11
    Survey response — 12 month, dose 2
    MedDRA: COVID-19, Cough, Fatigue, Influenza like illness, Myalgia, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-11Moderna

Free text

Release 4

Systemic reaction (other): sinus headache, not shot-related

Release 5

Systemic reaction (other): pretty standard for me

Release 6

Symptoms: Allergic rhinitisFatigue

Release 7

Symptoms: Diarrhea, brief low-grade fever, fatigue for two days; probably grandson's cold. He got tested when had low-grade fever and fatigue and was negative for SARS CoV-2 and influenza.

Release 9

Symptoms: Nothing Covid related. Allergic rhinitis. Sore muscles from overuse.

Symptoms: Nausea, diarrhea, upper torso muscle tenseness.

Release 11

Symptoms: I had Covid-19, confirmed by PCR and home-test (antibody). My husband had Covid-19 at thw same time, 3 weeks after he got his Moderna Booster. We both had 2 days of flu-like symptoms (fever, muscle aches, fatigue) followed by severe coughing that cut off by CDC

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDMuscle tightness · · ✓
SDMyalgia ✓ ✓ ✓
SDNausea · · ✓
SDPyrexia ✓ ✓ ✓
SDRhinitis allergic ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SROSinus headache ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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