XVC-75800-39177
2 vaccinations
10 coded responses
15 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-22
Dose 1 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Neck pain, Pain in jaw — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Neuropathy peripheral — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Neuropathy peripheral — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-29
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2021-04-30
Survey response — 7 day, dose 2MedDRA: Lymphadenopathy, Neuropathy peripheral — Feeling: Fair · Fever · Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-07
Survey response — 14 day, dose 2MedDRA: Lymphadenopathy, Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-14
Survey response — 21 day, dose 2MedDRA: Lymphadenopathy, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-21
Survey response — 28 day, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-28
Survey response — 35 day, dose 2MedDRA: Headache, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-04
Survey response — 42 day, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-07-23
- 2021-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Free text
Release 7
Systemic reaction (other): neck and jaw pain I had same with 1st dose too
Release 8
Systemic reaction (other): Lymph nodes in chest and arm pit are swollen and sore
Systemic reaction (other): Neuropathy in both feet.
Systemic reaction (other): Continued neuropathy in both feet, swollen painful lymph nodes arms chest
Systemic reaction (other): Swollen lymph nodes in arm and neck. Increased neuropathy in feet
Symptoms: I broke out in a nasty rash on my neck,shoulders,and upper arms and chest,was very itchy. Still have swollen lymph nodes in neck ans arm pits. I had cancer in 2018-2019 so my immune system is compromised.
Symptoms: Swollen lymph nodes,neck armpits,low grade fever continues. 99.8F
Symptoms: Ongoing low grade fevers. 99.9F. Ongoing swollen lymph nodes in armpit and neck.
Symptoms: Headache is back. Still also having fevers 99.8F and swollen lymph nodes in arm pit and chest.
Symptoms: Fever spikes to 100.2 FH continued swollen painful lymph nodes arm pit area.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release