XX6-33464-51424
4 vaccinations
3 coded responses
41 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 932 / CA
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
- 2021-01-11
- 2021-01-13
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-10-29
Dose 3 — Moderna
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-05-20
Dose 4 — ModernaCo-administered: Shingles
- 2022-05-20
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
-
2022-08-24
Survey response — 3 month, dose 4MedDRA: Dyspnoea, Fatigue, Hypoaesthesia, Impaired work ability, Laboratory test abnormal, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-11-18
Survey response — 6 month, dose 4MedDRA: Dyspnoea, Fatigue, Hypoaesthesia, Office visit, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11 · check-in answers available
-
2022-11-18
Report sent to call center — 6 month, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-11-21
-
2023-05-22
Survey response — 12 month, dose 4MedDRA: COVID-19, Dyspnoea, Fatigue, Hypoaesthesia, Joint swelling, Muscle spasms, Muscular weakness, Myalgia, Office visit, Peripheral swelling — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11 · check-in answers available
-
2023-05-22
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-05-23
- 2023-05-23
-
2023-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-20 | Moderna | Shingles |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-18 | Successful 2023-05-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-05-22 | Successful 2023-05-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12
Symptoms: Tested positive 7/12/22 neg 7/25/22 still feeling shortness of breath tired achy legs painful feet toes numb i have returned to work have pcp referral to cardiologist & endocrinologist
Symptoms: Still having shortness of breath(Rx inhaler) Fatigue swelling of feet & legs numbness of soles & toes of feet I have had extensive physical exams & testing performed by PCP,Podiatrist, Cardiologist,Endocrinologist PCP said this may be Long COVID
Healthcare visit (other): PCP visits
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 | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release