XW8-18320-35020
4 vaccinations
8 coded responses
52 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 985 / WA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-17
-
2021-02-24
Survey response — 14 day, dose 1MedDRA: Adverse reaction, Dizziness, Nausea, Pain, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
-
2021-03-10
Survey response — 0 day, dose 2MedDRA: Blood pressure increased — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Paraesthesia oral — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia oral — Feeling: Good · Site: Pain · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-17
Health check-in — 7 day, dose 2Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-26
Survey response — 14 day, dose 2MedDRA: Headache — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-31
- 2021-04-07
- 2021-04-16
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-12-03
Dose 3 — Moderna
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-12-06
- 2021-12-07
- 2021-12-09
- 2021-12-10
- 2021-12-18
- 2021-12-24
- 2022-01-02
- 2022-01-09
- 2022-01-14
- 2022-03-04
- 2022-06-03
-
2022-09-27
Dose 4 — Moderna
-
2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · Headache, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-02
-
2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-04
- 2022-10-11
- 2022-10-18
-
2022-10-25
Survey response — 28 day, dose 4MedDRA: Cough, Ear discomfort, Fatigue, Laryngitis, Nasal congestion, Oropharyngeal pain, Sinus congestion, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
- 2022-11-01
- 2022-11-08
- 2022-12-27
-
2023-03-28
Survey response — 6 month, dose 4MedDRA: Arthritis — 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
-
2023-03-28
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)
- 2023-03-29
-
2023-03-30
Callback requested for11:30AM ET
-
2023-03-30
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-09-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-28 | Successful 2023-03-30 |
Does not wish to fill out VAERS report |
Free text
Release 4
Symptoms: Sudden onset dizziness and vertigo on Day 10. Could not comfortably stand up. Had to lay down. Resolved within an hour. No noticeable residual after effects. Nausea and body aches on Day 12. Resolved within 2-3 hours.
Release 5
Systemic reaction (other): Elevated blood pressure
Systemic reaction (other): Tingling tongue- mild and intermittent Also mild soreness in shot side axillary region
Systemic reaction (other): Improved sense of taste over pre-vaccine#1. A surprise benefit. Minimal mouth/ tongue tingling
Systemic reaction (other): Elevated blood pressure 140s/80s. Have noticed this on 3 other days with measurements of up to 150s over 90s. Thought it was isolated but now see trend. Was lower prior to vaccine #2
Release 6
Symptoms: Mild headaches about 10 days after second shot.
Release 12
Symptoms: For past 2 days I have had a non Covid URI. Including laryngitis, sore throat, nasal and sinus congestion, plugged ears, and the start of a cough. Some fatigue. No fevers.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release