XWG-14826-78051
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 406 / KY
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
-
2021-03-16
Health check-in — 0 day, dose 1Feeling: Fair · Site: Redness · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
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2021-04-13
Survey response — 0 day, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Discomfort, Malaise — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Skin reaction, Skin warm — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
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2021-10-13
Survey response — 6 month, dose 2MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2021-12-02
Dose 3 — Moderna
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2021-12-02
Health check-in — 0 day, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Injection site nodule, Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness, DiarrheaMedDRA releases: 2024-11 · check-in answers available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Nausea, DiarrheaAdult check-in
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
- 2022-06-02
-
2022-10-06
Dose 4 — Moderna
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2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-10-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Nausea, DiarrheaAdult check-in
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2022-10-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Nausea, Diarrhea, Abdominal painAdult check-in
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-10-06 | Moderna | No |
Free text
Release 7
Systemic reaction (other): I just got it 15 minutes ago
Systemic reaction (other): I feel like I do when I get sick. It hit me about 1130 this morning. I have no energy. I feel heavy.
Systemic reaction (other): I am having a very large localized reaction on my skin with swelling on most of my upper arm. It's very hot to the touch. This started late last night.
Release 10
Symptoms: I have vertigo for the entire month of August.
Systemic reaction (other): Rash around injection site. Knot under area of injection site.
Systemic reaction (other): Armpit swollen on injection arm
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 | Vertigo | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Skin reaction | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release