XV5-30696-35946
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 856 / AZ
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injection site pain, Injection site warmth — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Headache, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
-
2021-04-03
Survey response — 0 day, dose 2MedDRA: Arthralgia, Clumsiness, Dizziness, Fatigue, Headache, Musculoskeletal discomfort — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-04
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-11
- 2021-04-17
- 2021-04-26
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
- 2021-10-02
- 2022-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 5
Systemic reaction (other): Upper arm / shoulder area where i recieved the injection, my skin felt a little warm to the touch and soreness in my shoulder
Systemic reaction (other): Arm soreness peaked and then started to subside
Systemic reaction (other): Soreness in shoulder is almost gone.
Release 6
Systemic reaction (other): Very light headache about 1 hour after the shot. Also felt a little clumsy and tired. Took a nap for about an hour and felt better. Mid afternoon did some walking and felt ackyness in both hips.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Clumsiness | ✓ | · | ✓ |
| SRO | Dizziness | ○ | ✓ | ○ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ○ | ✓ | ○ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release