XV6-10138-46418
4 vaccinations
8 coded responses
46 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-11
-
2021-03-19
Survey response — 14 day, dose 1MedDRA: Breast tenderness, Lymphadenopathy, Pre-existing disease, Seasonal allergy — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-24
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-28
- 2021-05-04
- 2021-05-11
- 2021-06-29
-
2021-09-29
Survey response — 6 month, dose 2MedDRA: Appendicectomy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11 · check-in answers available
-
2021-09-29
Report sent to call center — 6 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-10-01
-
2021-11-19
Dose 3 — Moderna
- 2021-11-21
- 2021-11-22
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-26
- 2022-01-01
- 2022-02-18
- 2022-05-20
-
2022-11-12
Dose 4 — ModernaCo-administered: Flu
-
2022-11-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: PainMedDRA releases: 2024-11 · check-in answers available
-
2022-11-15
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-11-16
Survey response — days 1–6 daily, dose 4MedDRA: Discomfort, Lymphadenopathy — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-11-18
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-11-19
Survey response — 7 day, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-11-28
- 2022-12-03
- 2022-12-17
- 2022-12-26
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-11-12 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-29 | Unsuccessful |
Free text
Release 5
Symptoms: Lymph node swelling on neck (right side & injection side) - possibly seasonal allergy related. General breast tenderness for about 1.5 days last week; no lumps felt.
Release 6
Systemic reaction (other): Under arm swelling
Release 9
Symptoms: I had an appendectomy at the end of July. I doubt this is related to the vaccine.
Release 12
Systemic reaction (other): Lymph node swelling (armpit on arm where bivalent vaccine received)
Systemic reaction (other): Lymph node swelling (arm pit)
Systemic reaction (other): Lymph node swelling underarm (uncomfortable)
Systemic reaction (other): Lymph node swelling (arm pit)
Systemic reaction (other): Lymph node swelling under arm pit (painfull)
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 | Appendicectomy | · | · | ✓ |
| SD | Breast tenderness | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release