XV5-19083-38874
3 vaccinations
8 coded responses
42 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Moderna
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper — Feeling: Good · Site: Pain · Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-31
-
2021-02-07
Survey response — 14 day, dose 1MedDRA: Arthralgia, Myalgia, Rash — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-09
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-06
-
2021-12-15
Dose 3 — Moderna
- 2021-12-15
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Fatigue, Myalgia, SARS-CoV-2 test negative — Feeling: Good · Joint pains, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-12-22
Survey response — 7 day, dose 3MedDRA: Arthralgia, Fatigue — Feeling: Good · Joint pains, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-03-18
- 2022-06-15
-
2022-12-17
Survey response — 12 month, dose 3MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
Free text
Release 2
Systemic reaction (other): Left upper quadrant pain for about 30 minutes this morning. Resolved on its own. I dont normally have that pain.
Release 3
Systemic reaction (other): Rash of small red dots on left arm ( shot was in right arm)
Symptoms: Intermittent rash on upper arms, mild joint pain and muscle aches.
Release 7
Systemic reaction (other): Extreme thirst
Systemic reaction (other): Yesterday 4/6 fever went up to 101.2
Release 10
Systemic reaction (other): I have been having end of day joint and muscle pain and fatigue. I've Covid tested negative
Systemic reaction (other): Continue to have joint pain and tiredness at end of the day
Release 12
Symptoms: Had influenza A, tested negative for Covid x 4
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release