XWA-87921-71301
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 921 / CA
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-06
Registered in v-safe
-
2021-05-06
Dose 1 — Moderna
-
2021-05-06
Survey response — 0 day, dose 1MedDRA: Dry mouth, Immediate post-injection reaction, Throat clearing — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
-
2021-05-20
Survey response — 14 day, dose 1MedDRA: Feeling hot, Rash, Rash pruritic, Urticaria — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-27
- 2021-06-03
-
2021-06-04
Dose 2 — Moderna
-
2021-06-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site induration, Injection site nodule, Injection site swelling, Injection site warmth — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-11
- 2021-06-18
-
2021-06-25
Survey response — 21 day, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-07-02
- 2021-07-09
-
2021-07-16
Survey response — 42 day, dose 2MedDRA: Fatigue — Feeling: FairMedDRA releases: 2021-09,2024-11 · check-in answers available
- 2021-09-03
- 2021-12-03
- 2022-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-06 | Moderna | |
| 2 | 2021-06-04 | Moderna |
Free text
Release 8
Systemic reaction (other): Within an hour of getting the vaccine, I developed dry mouth and I have to clear my throat.
Symptoms: Four days ago, I developed a strange rash on my vaccinated arm, but not the injection. I thought it was a mosquito bite, but it's scattered and looks like a rash vs a welt. It was very itchy and hot to the touch.
Release 9
Systemic reaction (other): A day after the vaccine, I developed a hard, raised and hot knot at the injection site. It has now gone away.
Symptoms: I started to have worsening headaches in the evening. They started at the base of my head and traveled to my temples. Pain was about a 6 or 7 on a scale of 10. Medicine did not relieve symtpms. This was about 10 days after vaccine. Lasted 4 days.
Symptoms: I have noticed an increase in fatigue. But it's lessened over the lazt couple of weeks.
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 | Fatigue | ✓ | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Throat clearing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release