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XWT-28800-79236

2 vaccinations 12 coded responses 17 check-ins 12 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
765 / TX
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Survey response — 0 day, dose 1
    MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Intranasal hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-04-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Head discomfort, Hypoaesthesia — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Intranasal hypoaesthesia — Feeling: Good · Chills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-04-16
    Survey response — 7 day, dose 1
    MedDRA: Chest discomfort — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-04-25
    Survey response — 14 day, dose 1
    MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-04-30
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-06
    Dose 2 — Moderna
  13. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Upper-airway cough syndrome — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  14. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Chills, Joint pains
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain
    Adult check-in
  16. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flatulence — Feeling: Poor · Site: Pain · Chills, Headache, Nausea, Diarrhea · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  17. 2021-05-14
    Survey response — 7 day, dose 2
    MedDRA: Brain fog — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  18. 2021-05-20
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-03
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-05-06
    Survey response — 12 month, dose 2
    MedDRA: Brain fog, Upper respiratory tract infection — Feeling: Poor
    MedDRA releases: 2024-11 · check-in answers available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-06Moderna

Free text

Release 7

Systemic reaction (other): Tingling in my nose and forehead

Systemic reaction (other): Numbness/tingling in my nose and top of my head

Systemic reaction (other): Tingling and numbness in my nose area

Systemic reaction (other): Pressure on the back of my head and the front. Numbness in my nose.

Systemic reaction (other): Numbness in nose

Systemic reaction (other): Chest tightness

Symptoms: Migraine

Release 8

Systemic reaction (other): Nasal drip

Systemic reaction (other): Dropping nose

Systemic reaction (other): Extreme gas in my chest, thought I was having a heart attack

Systemic reaction (other): Fogginess (the same feeling I get after I take a Benadryl)

Release 11

Symptoms: Memory fog, Upper respiratory infection

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

FieldPreferred term2021-092023-042024-11
SDBrain fog · · ✓
SDMigraine ✓ ✓ ✓
SDUpper respiratory tract infection · · ✓
SROBrain fog ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROIntranasal hypoaesthesia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROUpper-airway cough syndrome ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release