XWC-17986-45279
5 vaccinations
4 coded responses
69 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
-
2021-09-06
Survey response — 6 month, dose 2MedDRA: Dental operation, Post procedural complication — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11 · check-in answers available
-
2021-09-06
Report sent to call center — 6 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-08
Dose 4 — Moderna
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-14
- 2022-05-15
-
2022-05-22
Survey response — 14 day, dose 4MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-06-19
- 2022-08-07
-
2022-11-11
Dose 5 — Pfizer-BioNTech
- 2022-11-11
- 2022-11-12
-
2022-11-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
-
2022-12-16
Survey response — 35 day, dose 5MedDRA: Gastrointestinal disorder, Milk allergy — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-12-23
- 2023-02-10
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-08 | Moderna | No |
| 5 | 2022-11-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-06 | Unsuccessful |
Free text
Release 5
Systemic reaction (other): Arm is hot to the touch around injection site
Release 9
Symptoms: Complications after dental surgery
Release 11
Symptoms: Very loud Tinnitus that suddenly intruded in my afternoon on Monday May 16th
Release 12
Symptoms: I seem to have developed a milk allergy. I started to experience digestive issues about 9 days after my last booster. I'm experimenting with what dairy items I eat and when I eat them. May not be related to vaccine at all but thought I mention it. cut off by CDC
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 | Dental operation | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Milk allergy | · | · | ✓ |
| SD | Post procedural complication | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release