XV5-20876-68468
4 vaccinations
3 coded responses
42 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
665-11505-18249
Child or adolescent in my care · Male · 2021-11-29
BWK-97448-15517
Child or adolescent in my care · Male · 2021-11-29
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Diarrhoea, Fatigue, Migraine, Nausea, Pre-existing disease, Vomiting — Feeling: Fair · Site: Pain · NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Vomiting — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-11-10
Dose 3 — Moderna
- 2021-11-29
- 2021-12-03
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-11
- 2022-05-11
-
2022-09-28
Dose 4 — Moderna
- 2022-09-28
-
2022-09-29
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
-
2022-10-19
Survey response — 21 day, dose 4MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-11-04
- 2022-11-09
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-09-28 | Moderna | No |
Free text
Release 5
Systemic reaction (other): I did not fill out this survey the day following my first dose and wish I had. In the middle of the night following the vaccine, I woke up in the middle of the night with an intense migraine. I suffer from them once or twice a week and take Ubrelvy. I put off taking my medication until shortly after 6am. I woke with intense nausea and had one bout of diarrhea in the morning. I vomited a few times that day and had terrible nausea for most of the day. My head pain subsided in the early evening. It seems like the vaccine really intensified my migraine. I dont always vomit from them. But this time it was really intense. The day following my migraines I am very tired. Seemed this caused even more exhaustion. My stomach still feels slightly nauseated. Usually this lasts a day after a migraine. I also had the chills for a little bit the morning following the first dose, but it didnt last long. I did not have a fever at any point. I hope this information helps and I apologize I did not fill this out sooner.
Release 6
Systemic reaction (other): Close to vomiting but didnt.
Release 12
Symptoms: I suffer from frequent migraines but I feel like I have been getting them even more frequently recently. It may not be due to the booster but I thought I'd mention it in case it could be reheated to it.
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 | Migraine | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release