XVN-30569-37791
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 984 / WA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-03-04
Dose 2 — Moderna
-
2021-03-05
Registered in v-safe
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes, Oropharyngeal pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-11
- 2021-03-19
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-06-03
Survey response — 3 month, dose 2MedDRA: Lymphadenopathy, Magnetic resonance imaging abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-03
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-02
Survey response — 6 month, dose 2MedDRA: Migraine — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2022-03-04
Survey response — 12 month, dose 2MedDRA: COVID-19, Headache, Hot flush, Insomnia, Menopausal symptoms, Nasopharyngitis, Temperature regulation disorder, Unevaluable event, Weight loss poor — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-03-04
Report sent to call center — 12 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-03-07
- 2022-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-03 | Unsuccessful | |
| 2022-03-04 | Unsuccessful |
Free text
Release 5
Systemic reaction (other): For my first shot, i didn't report to this questionnaire, but i had a huge cold sore pop up the day after the first shot and a sore throat the night of the first shot.
Systemic reaction (other): Brain fog in the morning and I wasn't tired
Release 8
Symptoms: I had swollen lymph nodes causing a false positive on my mri of my breasts
Healthcare visit (other): Additional dr. Visits
Release 9
Symptoms: Migraine headaches are much more frequent
Release 11
Symptoms: I had covid begging of January. It just felt like a head cold for two days. Now I've been having trifle relating my temperature. I feel like I'm going through menopause. Can't sleep. Hot flashes. Headaches, can't lose weight. Could be unrelated. cut off by CDC
Healthcare visit (other): I'm still waiting for my appointment end of March.
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Magnetic resonance imaging abnormal | ✓ | ✓ | ✓ |
| SD | Menopausal symptoms | · | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Temperature regulation disorder | · | · | ✓ |
| SD | Weight loss poor | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release