XVP-27853-52981
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Malaise, Self-medication — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
-
2021-01-23
Survey response — 14 day, dose 1MedDRA: Erythema, Injection site pruritus — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-30
-
2021-02-03
Dose 2 — Moderna
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Myalgia, Self-medication — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-07
- 2021-02-09
-
2021-02-10
Health check-in — 7 day, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-25
Survey response — 21 day, dose 2MedDRA: Paraesthesia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-07
- 2021-08-04
-
2021-11-05
Dose 3 — Moderna
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-21
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-06
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Free text
Release 1
Systemic reaction (other): Soreness at injection site, tender to palpation. Improved with Tylenol. Felt under the weather about 18 hrs ago, no specific symptoms related to that
Release 2
Symptoms: Localized erythema and pruritis at the injection site on January 17-19, 2021. (I got my vaccine in January 9, 2021)
Release 3
Systemic reaction (other): Received 2nd dose on 2/3/21. Onset of myalgias began 6 hours later and quickly worsened. Chills and headache followed at 8 hours after the shot was given. Continued for 36+ hours. Controlled with Tylenol 975 mg and ibuprofen 800 mg every 8 hours
Release 4
Symptoms: Bilateral Intermittent tingling of the hands, and lower extremities from the knee and distally for 2 weeks after the 2nd dose. Worst at palms and soles. One episode lasted 24 hours and occurred 10 days out from 2nd dose
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release