XVG-25060-74247
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 982 / WA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-21
Dose 1 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
-
2021-04-28
Survey response — 7 day, dose 1MedDRA: Lymph node pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-05
Survey response — 14 day, dose 1MedDRA: Injection site bruising, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Lymphadenopathy — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-12
-
2021-05-19
Dose 2 — Moderna
-
2021-05-19
Health check-in — 0 day, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Ear discomfort, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Deafness unilateral, Dysgeusia, Meniere's disease, Pre-existing disease, Thirst, Tinnitus, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Deafness, Tinnitus, Vertigo — Feeling: Fair · Site: Itching · NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-25
-
2021-05-26
Survey response — 7 day, dose 2MedDRA: Deafness, Ear discomfort, Tinnitus — Feeling: Good · NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-24
- 2021-06-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | |
| 2 | 2021-05-19 | Moderna |
Free text
Release 8
Systemic reaction (other): Pain in lymph nodes under injected arm.
Symptoms: Large rash on injected arm, with swelling and 2 bruises. Sore lymph nodes under arm of injected arm. Itchy arm.
Systemic reaction (other): Plugged ear, dizziness, tinnitus
Systemic reaction (other): Menieres symptoms that I have not experienced in many years- significant hearing loss right ear, tinnitus , vertigo. Also increased thirst and metallic taste in mouth
Systemic reaction (other): Tinnitus, hearing loss, vertigo
Systemic reaction (other): Hearing loss, tinnitus, ear pressure
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 | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Deafness | ✓ | ✓ | ✓ |
| SRO | Deafness unilateral | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Meniere's disease | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release