XVV-18914-98167
4 vaccinations
8 coded responses
36 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 802 / CO
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
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2021-04-02
Dose 1 — Moderna
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Musculoskeletal chest pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal chest pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-09
Survey response — 7 day, dose 1MedDRA: Musculoskeletal chest pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-16
- 2021-04-23
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2021-04-30
Dose 2 — Moderna
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2021-04-30
Health check-in — 0 day, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, NauseaAdult check-in
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2021-05-07
Health check-in — 7 day, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-14
- 2021-05-23
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-10-29
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2021-11-15
Dose 3 — Moderna
- 2022-05-16
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2022-09-30
Dose 4 — ModernaCo-administered: Flu
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2022-10-03
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
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2022-10-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-06
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2022-10-07
Health check-in — 7 day, dose 4Feeling: Good · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2022-10-16
- 2022-10-21
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2022-10-28
Survey response — 28 day, dose 4MedDRA: Malaise, Oropharyngeal pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
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2022-11-06
Survey response — 35 day, dose 4MedDRA: Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-11-11
- 2022-12-31
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-09-30 | Moderna | Flu |
Free text
Release 7
Systemic reaction (other): Back lower ribs really hurt
Systemic reaction (other): still back bottom rib on right side pain
Systemic reaction (other): still lower rib back pain on right side
Release 8
Systemic reaction (other): head rush happening easily, but the helicopter noise has stopped happening when i turn my head (like when a car has one window rolled down and start making that awful noise)
Systemic reaction (other): still having a lot of an easier time getting a head rush but its somewhat better
Release 12
Systemic reaction (other): Bruised at injection site
Symptoms: Sore throat and feeling sick, I don't think I have covid but i don't feel great. it's actually been going on for about a week and change
Symptoms: Sore throat
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 | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release