XX5-99264-16523
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 080 / NJ
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-15
Survey response — 14 day, dose 1MedDRA: Injection site erythema — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
-
2021-03-01
Survey response — 0 day, dose 2MedDRA: Dysgeusia, Hypoaesthesia oral, Paraesthesia oral — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-06-01
Survey response — 3 month, dose 2MedDRA: Fatigue, Headache, Lymphadenopathy — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-08-30
-
2021-11-01
Dose 3 — Moderna
- 2021-11-01
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-03
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
-
2022-01-31
Survey response — 3 month, dose 3MedDRA: Ear pain, Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-05-02
-
2022-05-23
Dose 4 — Moderna
- 2022-05-23
-
2022-05-24
Survey response — days 1–6 daily, dose 4MedDRA: Nausea — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-21
- 2022-06-27
- 2022-07-04
- 2022-08-24
-
2022-11-21
Survey response — 6 month, dose 4MedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-11-21
Report sent to call center — 6 month, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-22
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-21 | Unsuccessful |
Free text
Release 4
Symptoms: On day 10 I had a round red circle around the injection site. Not sore or itchy. Went away the next day- 24 hours .
Systemic reaction (other): I had a slight numbness or tingling on my top lip and also my tongue was the same. Also had a metallic taste in my mouth . These symptoms stopped in about an hour
Release 8
Symptoms: Tired a lot & swollen glands in my neck. I am going to contact my doctor since these symptoms havent subsided.
Release 11
Symptoms: Sore throat, ear ache
Systemic reaction (other): Nauseous
Release 12
Symptoms: 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release