XVV-31113-48178
4 vaccinations
12 coded responses
32 check-ins
12 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 386 / MS
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
- 2021-02-23
- 2021-03-02
-
2021-03-09
Survey response — 21 day, dose 1MedDRA: Headache — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-16
-
2021-03-17
Dose 2 — Moderna
- 2021-03-24
-
2021-03-31
Survey response — 14 day, dose 2MedDRA: Dizziness, Vertigo — 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: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-31
Report sent to call center — 14 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — 35 day, dose 2MedDRA: Fatigue — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-28
-
2021-06-16
Survey response — 3 month, dose 2MedDRA: Rhinorrhoea, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-16
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
- 2021-06-30
- 2021-09-15
-
2021-10-27
Dose 3 — ModernaCo-administered: Flu
- 2021-10-28
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Upper-airway cough syndrome — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-19
- 2021-11-27
-
2021-12-02
Survey response — 35 day, dose 3MedDRA: Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2021-12-08
Survey response — 42 day, dose 3MedDRA: Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-01-26
-
2022-04-19
Dose 4 — Moderna
-
2022-04-27
Survey response — 7 day, dose 4MedDRA: Nasal congestion — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2022-04-27
Survey response — 6 month, dose 3MedDRA: Nasal congestion — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-05-03
-
2022-05-11
Survey response — 21 day, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-05-17
Survey response — 28 day, dose 4MedDRA: Headache, Nasopharyngitis, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-05-24
- 2022-10-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-27 | Moderna | Flu |
| 4 | 2022-04-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-31 | Unsuccessful | |
| 2021-06-16 | Unsuccessful |
Free text
Release 5
Symptoms: Head aches
Release 6
Symptoms: I get very bad vetigo. I get real dizzy at times and it goes away. It's sorta scary because i never know when it's going to start or end! My PCP prescribed MECLIZINE 2X DAY. It helps but it hasn't stop it.
Release 7
Symptoms: Fatigue, tiredness. It comes and goes.
Release 9
Symptoms: Runny nose every now and then, and i have to take my pain meds more often.
Release 10
Systemic reaction (other): Feelings of a sore throat
Systemic reaction (other): Nasal drip
Symptoms: Throat is a little sore!
Symptoms: Feels like a lite soar throat I've had for about a week now.
Release 11
Systemic reaction (other): Stuffy nose
Symptoms: Nose.feel stuffy, that's about it.
Symptoms: Tiredness, not wanting to get go!
Symptoms: Coldlike syptems....runny nose, headaches
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release