XWB-23353-61794
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 490 / MI
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Moderna
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Injection site warmth — Feeling: Good · Site: Redness, SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-09
-
2021-04-10
Survey response — 7 day, dose 2MedDRA: Oral herpes — Feeling: Good · Site: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
-
2021-10-02
Survey response — 6 month, dose 2MedDRA: Gastrointestinal disorder, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 6
Systemic reaction (other): Rash area warm to touch and appears to have reactivated site of first shot. Small rash appearing there.
Release 7
Systemic reaction (other): Cold sores on lip stared late yesterday afternoon. Taking Acyclovir.
Systemic reaction (other): Just remaining cold sore not really responsive to Acyclovir
Release 9
Symptoms: A Cold that lasted almost 2 weeks. I took 2 COVID tests. Both were negative. Also had a GI issue that lasted several days, but I did not think it was COVID so did not get tested.
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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release