XWC-16095-36381
5 vaccinations
6 coded responses
35 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 945 / CA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-18
Survey response — 21 day, dose 1MedDRA: Erythema, Pruritus, Urticaria — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-22
Dose 2 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-01-27
-
2021-01-29
Survey response — 7 day, dose 2MedDRA: Injection site erythema, Injection site inflammation, Injection site pruritus — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-05
Survey response — 14 day, dose 2MedDRA: Hot flush, Nausea — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-07
- 2021-04-23
- 2021-07-25
-
2021-10-29
Dose 3 — Moderna
-
2022-01-22
Survey response — 12 month, dose 2MedDRA: Hot flush — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-04-01
Dose 4 — Pfizer-BioNTech
-
2022-04-23
Survey response — 21 day, dose 4MedDRA: Erythema, Inflammation, Peripheral vascular disorder — 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
-
2022-04-23
Report sent to call center — 21 day, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-27
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-08
Dose 5 — Moderna
- 2022-09-30
- 2022-09-30
- 2022-10-06
- 2022-10-13
- 2022-10-20
-
2022-12-08
Survey response — 3 month, dose 5MedDRA: Cough, Nasopharyngitis, Office visit, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-22 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-09-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-23 | Unsuccessful |
Free text
Release 2
Symptoms: 8 days post vaccine: red, hot, itchy welt (like a bad bug bite) at site of injection. Resolved spontaneously (no medication) w/in 48 hours.
Release 3
Systemic reaction (other): I think this may be my last check in so also wanted to mention that 8days after my first shot, I developed a red, itchy, inflamed area at the site of injection (which had been back to normal for several days prior). It went away within 2 days without treatment but Ive spoken to several individuals who also had this symptom a week or more after the shot.
Symptoms: Nausea for one day (moderate, day 13 post vaccine) Hot flashes for the past week (moderate, 3-5 episodes per day).
Release 11
Symptoms: Hot flashes
Symptoms: Three toes were red and inflamed for over a month. Tx with antibiotics which cleared things up but my big toe is still red and doesn't look like blood flow is good.
Release 12
Symptoms: Cold symptoms, cough, congestion. Covid test at Dr.'s appointment was negative
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 | Cough | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Peripheral vascular disorder | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site inflammation | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release