XX2-20311-19210
2 vaccinations
10 coded responses
17 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 985 / WA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
- 2021-03-19
-
2021-03-20
Survey response — 21 day, dose 1MedDRA: Arthralgia, Erythema, Fatigue, Pain in extremity, Pruritus, Rash — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-27
Dose 2 — Moderna
-
2021-03-27
Survey response — 0 day, dose 2MedDRA: Dizziness — Feeling: Fair · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort, Hypoacusis, Tinnitus — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches · 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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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Injection site bruising, Oedema peripheral, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, 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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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discolouration, Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Tinnitus — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-03
Health check-in — 7 day, dose 2Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
-
2021-04-17
Survey response — 21 day, dose 2MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-24
- 2021-05-01
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2021-06-28
Survey response — 3 month, dose 2MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-06-28
Report sent to call center — 3 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-05
- 2021-09-25
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-28 | Unsuccessful |
Free text
Release 6
Symptoms: The firs 2 days after the vaccination, I had headache, joint pain, fatigue, itchiness all over and sore arm. About 5 days after vaccination, my arm was red and rashy for about 2 weeks ( I have photos). I've had joint pain ever since the vaccination cut off by CDC
Systemic reaction (other): lightheaded
Systemic reaction (other): very loud tinnitus in one ear, thick feeling in left ear reduced hearing
Systemic reaction (other): tinnitus, brain fog
Systemic reaction (other): tinnitus, swelling and pain in my armpit, bruise at injection site
Systemic reaction (other): tinnitus
Systemic reaction (other): the injection site bruise is getting bigger and darker, tinnitus
Systemic reaction (other): bruise at injection site, tinnitus, tire easily
Release 7
Symptoms: Worsening joint pain and fatigue
Release 9
Symptoms: increased muscle and joint pain
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypoacusis | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release