XV2-48565-83365
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 469 / IN
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
-
2021-04-06
Health check-in — 0 day, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia, Gait disturbance, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Fever · Fatigue or tiredness, DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-04-15
Survey response — 7 day, dose 2MedDRA: Fibromyalgia — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-27
- 2021-05-04
-
2021-12-13
Dose 3 — Moderna
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2021-12-17
- 2021-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-12-13 | Moderna | No |
Free text
Release 7
Systemic reaction (other): My fever spiked sometime between 19-20 hrs after the shot. I slept 11 hrs overnight. I used 2 canes to walk to the bathroom and kitchen in order to mot fall. I used Tylenol and washrags to keep my temperature between 100-102. Most symptoms oddly went away or greatly decreased btween hrs 34-35. I do have fibromyalgia. .
Systemic reaction (other): Note: I have fibromyalgia
Systemic reaction (other): Fibromyalgia
Release 10
Systemic reaction (other): Fever remqined between 101-102 until 11pm last night
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 |
|---|---|---|---|---|
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release