XV4-88325-96393
4 vaccinations
6 coded responses
32 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 030 / NH
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-25
- 2021-01-27
- 2021-01-28
- 2021-02-06
- 2021-02-11
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-28
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
-
2021-11-10
Dose 3 — Moderna
-
2022-02-21
Survey response — 12 month, dose 2MedDRA: Chills, Diarrhoea, Fatigue, Femur fracture, Pyrexia, SARS-CoV-2 test negative, Viral infection, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-04-08
Dose 4 — Moderna
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
-
2022-10-07
Survey response — 6 month, dose 4MedDRA: Gastrointestinal disorder, Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-10-07
Report sent to call center — 6 month, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-10
-
2023-04-08
Survey response — 12 month, dose 4MedDRA: Bronchitis, Gastrointestinal disorder, Laryngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2023-04-08
Report sent to call center — 12 month, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-07 | Unsuccessful | |
| 2023-04-08 | Unsuccessful |
Free text
Release 2
Systemic reaction (other): The pain in my arm is almost gone by today. I will be calling because I can't scheduled my shot close to 2/18 because so many are in the next group. You should schedule both at the same time very frustrating
Release 4
Systemic reaction (other): Dizziness
Systemic reaction (other): Slight dizziness
Release 11
Symptoms: I broke my femur in October, got booster and recently had a very faiguting bug with fever, chills, vomiting diarrhea but tested negative for covid on home test.
Release 12
Symptoms: GI problems, losing weight
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 | Bronchitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Femur fracture | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release