XVV-25750-24531
4 vaccinations
6 coded responses
39 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 446 / OH
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Hyperhidrosis — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-04
- 2021-05-13
- 2021-06-29
- 2021-09-28
-
2021-11-07
Dose 3 — Moderna
- 2022-03-30
-
2022-04-28
Dose 4 — Moderna
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-02
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-04
- 2022-05-05
- 2022-05-12
- 2022-05-19
-
2022-05-28
Survey response — 28 day, dose 4MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-06-02
Survey response — 35 day, dose 4MedDRA: Cough, Ear infection, Sinus congestion — 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
-
2022-06-02
Report sent to call center — 35 day, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-03
Call successfulParticipant prefers to complete VAERS report online
-
2022-06-09
Survey response — 42 day, dose 4MedDRA: Asthenia, Body temperature increased, Cough, Ear congestion, Fatigue, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-07-30
Survey response — 3 month, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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
-
2022-07-30
Report sent to call center — 3 month, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-01
-
2022-08-01
Callback requested for03:30PM ET
- 2022-08-01
-
2022-08-01
Callback requested for03:30PM ET
-
2022-08-01
Call successfulOther
-
2022-10-27
Survey response — 6 month, dose 4MedDRA: Constipation, Nephrolithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-10-27
Report sent to call center — 6 month, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-28
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-02 | Successful 2022-06-03 |
Participant prefers to complete VAERS report online |
| 2022-07-30 | Successful 2022-08-01 |
Other |
| 2022-10-27 | Unsuccessful |
Free text
Release 6
Systemic reaction (other): Profuse sweating, entire body completely drenched, cold, and clammy in the middle of the night x2 nights. Post menopausal so not related to menopause
Release 11
Symptoms: Nasal congestion and sore throat
Symptoms: Sinus congestion, ear infection, persistent cough.
Release 12
Symptoms: I was feeling better after 7 days of antibiotic. Now have a runny nose, non productive cough, and ear congestion. Low grade fever of 98.9 but I always run 96.8 - 97.8. Overall feeling drained and tired.
Symptoms: I had covid on June 10
Symptoms: Problems with constipation and kidney stone.
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 | Asthenia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release