XWM-27890-91651
3 vaccinations
3 coded responses
22 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-03-11
Dose 2 — Moderna
- 2021-06-12
-
2021-09-09
Survey response — 6 month, dose 2MedDRA: Asthenia, Discharge, Nasopharyngitis, Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2021-12-07
Dose 3 — Moderna
- 2021-12-08
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-21
-
2021-12-28
Survey response — 21 day, dose 3MedDRA: Nasopharyngitis, Office visit, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2021-12-28
Report sent to call center — 21 day, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-30
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-03-08
- 2022-06-09
-
2022-12-07
Survey response — 12 month, dose 3MedDRA: Carotid artery stenosis, Office visit, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-12-07
Report sent to call center — 12 month, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-08
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-28 | Unsuccessful | |
| 2022-12-07 | Unsuccessful |
Free text
Release 9
Symptoms: I have a cold that started with a sore throat due to drainage at night. No fever, just liw energy most likely just a simple cold but I do wonder if I should be tested for covid delta variant.
Release 10
Symptoms: Cold and sinus infection, no fever
Healthcare visit (other): I saw my ENT on 12/16 for a yearly visit, he discovered the sinus inf and started ceftin. The cold symptoms started after that.
Release 12
Symptoms: Carotid stenosis. Possible TIA in left eye. On 2- 81mg aspirin and Plavix now. Seeing cardiologist and vascular surgeon now. Also saw Neuro Opthamologist. CT Angiogram on 12/15.
Healthcare visit (other): Neuro Opthamologist, Cardiologist, Vascular Surgeon. All as out-patient visits.
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 |
|---|---|---|---|---|
| HCVO | Nasopharyngitis | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Sinusitis | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Carotid artery stenosis | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release