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XVT-26488-32093

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
198 / DE
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Health check-in — 0 day, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-01-17
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-23
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-01-30
    Survey response — 14 day, dose 1
    MedDRA: Chills, Pain, Pyrexia, SARS-CoV-2 test negative, Sinus congestion — Feeling: Good · Be unable to work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-02-06
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-10
    Dose 2 — Moderna
  15. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  17. 2021-02-17
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-24
    Survey response — 14 day, dose 2
    MedDRA: Dyspepsia — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  19. 2021-03-03
    Survey response — 21 day, dose 2
    MedDRA: Constipation, Diarrhoea, Dyspepsia, Gastrointestinal disorder, Gastrointestinal pain — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-03-10
    Survey response — 28 day, dose 2
    MedDRA: Abdominal discomfort — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  21. 2021-03-10
    Report sent to call center — 28 day, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-03-17
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-25
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-12
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-06
  26. 2021-08-10
  27. 2021-08-10
    Call successful
    Does not wish to fill out VAERS report
  28. 2022-02-10
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-17 priority 2/3
2021-03-10 Successful
2021-08-10
 Does not wish to fill out VAERS report

Free text

Release 2

Systemic reaction (other): No but my normal temp is 97.3

Release 3

Symptoms: Slight fever. Sinus congestion and pain body chilled for all lasted three days then clearedI did get a Covid test ( -) result

Release 4

Systemic reaction (other): All symptoms where on day 2. February 11, 2021
Systemic reaction (other): All good now. Symptoms from second vaccination lasted two days the good
Symptoms: Not really worse. But after second shot. My digestive system has been really off and slow slow slow. I never have problems like this

Release 5

Symptoms: Worsening digestive issues. Sm intestines with pain. Not digesting food wellAlternating between constipation and diarrhea. I do not usually have digestive issues. This is new since second vaccination
Symptoms: Stomach and intestinal problems

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
SDAbdominal discomfort ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspepsia ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDGastrointestinal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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