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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

  1. 2021-04-21
    Dose 1 — Moderna
  2. 2021-04-23
    Registered in v-safe
  3. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-28
    Survey response — 7 day, dose 1
    MedDRA: Lymph node pain — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-05-05
    Survey response — 14 day, dose 1
    MedDRA: Injection site bruising, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Lymphadenopathy — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-05-12
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-19
    Dose 2 — Moderna
  12. 2021-05-19
    Health check-in — 0 day, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-05-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Deafness, Tinnitus, Vertigo — Feeling: Fair · Site: Itching · Nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  17. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Nausea
    Adult check-in
  18. 2021-05-26
    Survey response — 7 day, dose 2
    MedDRA: Deafness, Ear discomfort, Tinnitus — Feeling: Good · Nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  19. 2021-06-02
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-09
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-16
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-24
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-30
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Moderna
22021-05-19Moderna

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

FieldPreferred term2021-092023-042024-11
SDInjection site bruising ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SRODeafness ✓ ✓ ✓
SRODeafness unilateral ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROMeniere's disease ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROThirst ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release