XX5-30737-71108
5 vaccinations
10 coded responses
64 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 338 / FL
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Muscle tightness — Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
-
2021-07-29
Survey response — 3 month, dose 2MedDRA: Nodule, Pain in extremity, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-07-29
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)
- 2021-08-10
- 2021-10-26
-
2021-11-23
Dose 3 — Moderna
- 2021-11-25
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
-
2021-12-07
Survey response — 14 day, dose 3MedDRA: Cough — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-14
-
2021-12-21
Survey response — 28 day, dose 3MedDRA: Cough — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-12-28
Survey response — 35 day, dose 3MedDRA: Cough, Exposure to SARS-CoV-2, SARS-CoV-2 test — 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 — 35 day, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-12-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-04
- 2022-02-22
-
2022-04-22
Dose 4 — Moderna
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-24
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-10-21
Survey response — 6 month, dose 4MedDRA: Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-10-21
Report sent to call center — 6 month, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-10
Dose 5 — Moderna
- 2022-11-10
-
2022-11-11
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, DiarrheaMedDRA releases: 2024-11 · check-in answers available
-
2022-11-12
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2022-11-13
- 2022-11-14
-
2022-11-15
Survey response — days 1–6 daily, dose 5MedDRA: Body temperature increased, Diarrhoea — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-11-16
- 2022-11-18
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-15
- 2022-12-22
-
2023-02-09
Survey response — 3 month, dose 5MedDRA: Nausea — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-11-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-29 | Successful 2021-12-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-12-28 | Successful 2021-12-29 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-10-21 | Successful 2022-10-24 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8
Systemic reaction (other): Yesterday 45 minutes post vaccination I experienced tingling in my left hand and tightness in those muscles. No other issues. Lasted about 1 hr. No signs of anaphylaxis or any allergic reaction. Was using the left hand to drive which same arm as vaccine and didn't notice until I removed hand from steering wheel. Has never happened before.
Systemic reaction (other): After reporting yesterday I had some itching around injection site and redness. Dont know if related to bandaid or vaccine. Was gone by this morning
Release 9
Symptoms: Pain due to knot in right hamstring. Probably not related. Physical therapist is having me get it checked out by massage therapist
Healthcare visit (other): Physical therapist
Release 10
Symptoms: Cough
Symptoms: Cough...
Symptoms: Cough getting worse. Learned I was exposed in my home to a contractor who tested positive on the 23rd. Was tested today and waiting for results.
Healthcare visit (other): COVID test
Release 12
Symptoms: Higher blood pressure than ever
Healthcare visit (other): Routine annual visit with medication prescribed
Systemic reaction (other): No
Systemic reaction (other): After answering these questions yesterday, I started running a fever of 99.2 later in the day with diarrhea agaun up until midnight. Was gone this morning. As today's questions say today, simply typing this in as an FYI
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 | · | · | ✓ |
| HCVO | Physiotherapy | ✓ | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nodule | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release