XW6-15371-06848
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 028 / RI
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Health check-in — 7 day, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-21
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Musculoskeletal pain, Pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Eye infection — Feeling: Fair · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Conjunctivitis, Periorbital swelling — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Conjunctivitis — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-13
Survey response — 7 day, dose 2MedDRA: Eye swelling — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-19
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2021-03-26
Survey response — 21 day, dose 2MedDRA: Eye infection, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-26
Report sent to call center — 21 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-09
- 2021-04-16
- 2021-06-06
- 2021-09-03
- 2022-01-14
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-26 | Unsuccessful |
Free text
Release 5
Systemic reaction (other): From hours 10-20 on day one after vaccine, I experienced intense pain in certain bones, in particular right shoulder blade. Pain rivaled pain of broken ribs, which I experienced four years ago. Fortunately, this pain subsided after 24 hours or so. I still have significant body aches.
Systemic reaction (other): Recovered very quickly from severe effects yesterday.
Systemic reaction (other): Slight infection in right eye. Hoping this goes away on its own (without antibiotics). Haven't contacted my Doctor yet.
Systemic reaction (other): Puffy right eye, conjunctivitis continues. From what I have read online, I believe this could be a side effect of the vaccine.
Systemic reaction (other): Mild conjunctivitis continues.
Systemic reaction (other): Swelling of right eye continues.
Release 6
Symptoms: Eye infections persisted, so I contacted my doctor on March 24. He prescribed antibiotics (both topical for eyes and systemic) and symptoms have lessened considerably. I was also experiencing tinnitus in left ear, but that has subsided too.
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 | Eye infection | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Conjunctivitis | ✓ | ✓ | ✓ |
| SRO | Eye infection | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Periorbital swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release