XX8-24774-21350
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 789 / TX
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
-
2021-03-15
Health check-in — 7 day, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-16
Survey response — 14 day, dose 1MedDRA: Erythema, Feeling hot, Pain in extremity, Pruritus — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-23
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Muscle or body achesAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-04-07
Health check-in — 7 day, dose 2Feeling: Good · Site: Itching · Headache, Muscle or body achesAdult check-in
- 2021-04-14
-
2021-04-21
Survey response — 21 day, dose 2MedDRA: Cheilitis, Sensory disturbance — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-28
Survey response — 28 day, dose 2MedDRA: Cheilitis, Lip discolouration — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-07
- 2021-05-12
-
2021-09-29
Survey response — 6 month, dose 2MedDRA: Chest discomfort — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-03-31
Survey response — 12 month, dose 2MedDRA: Oral surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-03-31
Report sent to call center — 12 month, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-31 | Unsuccessful |
Free text
Release 5
Symptoms: My injection arm is still red, warm, itchy & somewhat painful. These side effects did not appear until day 10! Today is day 15! When will my arm return to normal?
Release 7
Symptoms: I have a sore on my bottom lip which I have never had before! Also, my heart area feels strange at times! I feel like these new symptoms are somehow related to the Moderna injections.
Release 8
Symptoms: I now have a purplish spot on my lip in a different spot than the sore was.
Release 9
Symptoms: Strange feelings around heart area. Not sure if related, but never felt before.
Release 11
Symptoms: Oral surgery
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 | Cheilitis | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Lip discolouration | ✓ | ✓ | ✓ |
| SD | Oral surgery | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release