XWX-52602-63415
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 330 / FL
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
-
2021-01-26
Survey response — 21 day, dose 1MedDRA: Cardiac flutter, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-26
Report sent to call center — 21 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-02
Dose 2 — Moderna
-
2021-02-02
Survey response — 0 day, dose 2MedDRA: Unevaluable event — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-17
- 2021-02-23
- 2021-03-02
- 2021-03-11
- 2021-03-16
- 2021-04-09
- 2021-05-04
-
2022-02-02
Survey response — 12 month, dose 2MedDRA: Asthenia, COVID-19, Dyspnoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-26 | Unsuccessful |
Free text
Release 2
Symptoms: Felt a little like my heart was fluttering. Probably from sweating and playing pickelball and got dehydrated.
Healthcare visit (other): Regular doctor did an ekg and said it was perfect. Could be electrolytes or perhaps thyroid.
Release 3
Systemic reaction (other): I just got the shot 30 minutes ago but nothing so far.
Release 11
Symptoms: I Got Covid December 31st, 2021. There are still times when I lack energy and feel winded however i am at 8000 feet of attitude in our condo. I have been at attitude since December 13th 2021 and did not feel tired prior to getting covid
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release