XWB-45015-00516
5 vaccinations
3 coded responses
40 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 306 / GA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — 35 day, dose 2MedDRA: Rash — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-09-24
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-11-01
- 2021-11-05
- 2021-12-24
- 2022-03-27
-
2022-05-21
Dose 4 — Moderna
- 2022-09-24
-
2022-10-07
Dose 5 — Moderna
- 2022-10-13
- 2022-10-14
- 2022-10-21
-
2022-10-28
Survey response — 21 day, dose 5MedDRA: Gingival disorder, Reaction to previous exposure to any vaccine, Tooth disorder — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-11-04
-
2022-11-11
Survey response — 35 day, dose 5MedDRA: Rash — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-09-24 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Free text
Release 7
Symptoms: Im not sure if this is related... last week I developed a raised rash on my chest. It went away mostly with some over the counter cortisone cream.
Release 12
Symptoms: I had some gum/ dental issues crop up. I wouldn't mention it except that when I got the last booster I also had incredible gum sensitivity and a cold sore outbreak as did my twin sister we have had the same vaccination schedule so it seems time to me cut off by CDC
Symptoms: Rash on lower arms and chest. Appeared 4 days post fu shot. Never experienced before.
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 | Gingival disorder | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Tooth disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release