XWV-33477-21578
4 vaccinations
9 coded responses
54 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 724 / AR
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Muscle twitching — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-31
- 2021-02-07
- 2021-02-14
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node palpable — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-10-28
Dose 3 — Moderna
-
2021-10-28
Health check-in — 0 day, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 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
Survey response — 3 month, dose 3MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
-
2022-04-21
Dose 4 — Moderna
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Itching · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Fair · Site: PainMedDRA releases: 2024-11 · check-in answers available
- 2022-04-26
- 2022-04-27
-
2022-04-28
Survey response — 7 day, dose 4MedDRA: Laryngitis — Feeling: Poor · FeverMedDRA releases: 2024-11 · check-in answers available
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-04
-
2022-07-21
Survey response — 3 month, dose 4MedDRA: COVID-19, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-07-21
Report sent to call center — 3 month, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-22
- 2022-10-20
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-21 | Unsuccessful |
Free text
Release 2
Systemic reaction (other): Muscle twitching on injection site.
Release 4
Systemic reaction (other): Lymph node under injection site arm is tender and a bit sore. I dont know if this is related to the vaccine or not but wanted to share
Systemic reaction (other): Lymph nodes under left arm where vaccine received
Release 11
Symptoms: Upper respiratory infection
Systemic reaction (other): Tender nodes under arm of injection site. Left side of breast and under arm
Systemic reaction (other): Lymph nodes under arm and side of breast tender and sore only arm that had vaccine
Systemic reaction (other): Lymph node under left arm sore
Systemic reaction (other): Laryngitis
Release 12
Symptoms: Covid - sore throat, headache, stuffy in head and congestion and 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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Laryngitis | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymph node palpable | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release