XVJ-22868-34247
1 vaccination
9 coded responses
14 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 334 / FL
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-08
Dose 1 — Moderna
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2021-03-09
Registered in v-safe
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Vision blurred — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Vision blurred — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Vision blurred — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Vision blurred — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Vision blurred — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-15
Survey response — 7 day, dose 1MedDRA: Fatigue, Medical counselling, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-15
Report sent to call center — 7 day, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-22
Survey response — 14 day, dose 1MedDRA: Adverse reaction, Ear infection, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-22
Report sent to call center — 14 day, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-29
- 2021-04-06
- 2021-04-12
- 2021-04-19
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2021-06-07
Survey response — 3 month, dose 1MedDRA: Postmenopausal haemorrhage, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-07
Report sent to call center — 3 month, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-04
Call successfulCompleted over the phone
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2021-09-08
Survey response — 6 month, dose 1MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
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2021-09-08
Report sent to call center — 6 month, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-13
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-15 | Successful | Completed over the phone |
| 2021-03-22 | Successful | Completed over the phone |
| 2021-06-07 | Successful 2021-09-04 |
Completed over the phone |
| 2021-09-08 | Unsuccessful |
Free text
Release 5
Systemic reaction (other): Blurry vision
Systemic reaction (other): Blurry vision
Systemic reaction (other): Tired, blurry vision
Systemic reaction (other): Blurry vision
Systemic reaction (other): Blurry vision
Systemic reaction (other): Blurry vision in my one eye and very tired
Healthcare visit (other): Made an appt to my eye doc
Release 6
Symptoms: UTI, cant see correctly out of my left eye and started to get an ear infection in my left ear
Healthcare visit (other): Also went to an eye doctor and had to get glasses , I am on my second course of antibiotics
Release 8
Symptoms: Started to bleed and cramp on and off several days a week for the past month even though I have been in menopause for a few years now .
Healthcare visit (other): May have to do an outpatient procedure if it does not stop
Release 9
Symptoms: Another UTI
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 | Adverse reaction | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release