XWM-19485-20325
2 vaccinations
7 coded responses
13 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 121 / NY
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
- 2021-04-02
- 2021-04-04
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2021-04-06
Dose 2 — Moderna
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Itching · Joint pains, 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
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2021-04-13
Survey response — 7 day, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Itching · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-20
- 2021-04-27
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2021-05-04
Survey response — 28 day, dose 2MedDRA: Impaired work ability, Injection site pain, Injection site reaction, Pain — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-11
- 2021-05-18
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2021-07-06
Survey response — 3 month, dose 2MedDRA: Hyperlipidaemia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-10-05
Survey response — 6 month, dose 2MedDRA: Arthropod sting, Injection site joint pain, Pain, Pruritus, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
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2022-04-06
Survey response — 12 month, dose 2MedDRA: Cough, Rhinorrhoea, Upper-airway cough syndrome — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 7
Systemic reaction (other): Elbow pain
Systemic reaction (other): Elbow pain
Systemic reaction (other): Elbow pain
Release 8
Symptoms: Elbow still hurts on arm where I got the shotLow dull pain with occasional tinges of more intense pain Really noticed it at my new job It made it really difficult to check the eel net and had trouble carrying small pail of water
Release 9
Symptoms: Hyperlipidemia
Release 10
Symptoms: Reaction to a wasp sting - very itchy and sore Also still having intermittent elbow pain in the arm I received the shot in and experienced a lot of pain right after both shots and for a long time after
Release 11
Symptoms: Sniffles and post nasal drip cough
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 | Arthropod sting | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Hyperlipidaemia | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Injection site joint pain | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ○ | ○ | ○ |
| SD | Pruritus | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release