XV6-20908-43653
3 vaccinations
4 coded responses
32 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Dyspnoea — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-19
-
2021-03-25
Survey response — 28 day, dose 2MedDRA: Dyspnoea, Fatigue — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-02
- 2021-04-08
-
2021-05-27
Survey response — 3 month, dose 2MedDRA: Dyspnoea, Fatigue, Muscle spasms — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-08-30
-
2022-02-28
Survey response — 12 month, dose 2MedDRA: Blood iron decreased, Dyspnoea, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-02-28
Report sent to call center — 12 month, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-02
Call successfulParticipant prefers to complete VAERS report online
-
2022-03-23
Dose 3 — Pfizer-BioNTech
- 2022-03-31
- 2022-04-06
- 2022-04-13
- 2022-04-21
- 2022-04-27
- 2022-05-05
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2022-03-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-28 | Successful 2022-03-02 |
Participant prefers to complete VAERS report online |
Free text
Release 4
Systemic reaction (other): When going for a walk I seem to have less energy and my breathing is more labored.. it seems to be more evident since the 2nd shot.
Release 6
Symptoms: Continue to feel more short of breath and more tired than before the vaccination.. its not stopping me from doing things but I feel it..
Release 8
Symptoms: Excessive fatigue and shortness of breath.. some unusual cramping..
Release 11
Symptoms: Shortness of breath, exhaustion and substantial drop in Iron count.
Healthcare visit (other): Primary Care Physician and Cardiologist
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Blood iron decreased | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release