XXA-22345-54252
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
-
2021-03-11
Survey response — 0 day, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — 7 day, dose 1MedDRA: Injection site pain, Pruritus — Feeling: Good · Site: Pain, Redness, ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-25
Survey response — 14 day, dose 1MedDRA: Furuncle, Immunisation reaction, Injection site reaction, Lymphadenopathy, Pain in extremity, Rash, Rash pruritic — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Itching · Headache · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Itching · Headache, 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
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Health check-in — 7 day, dose 2Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 5
Systemic reaction (other): Metallic taste in the mouth
Systemic reaction (other): Itchy painful spot on the forearm of the injected arm, same pain and itchy sensation as at the injection site
Release 6
Symptoms: On day 7 after the vaccination, developed Covid Arm - painful itchy rash at the injection site, a boil on the forearm and swollen lymph nodes on the same arm
Release 7
Systemic reaction (other): Rushes to the head
Systemic reaction (other): Painful swollen lymph nodes on the neck and in the armpit
Systemic reaction (other): Swollen lymph nodes in the neck and in the armpit
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 | Furuncle | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | · | ✓ |
| SD | Injection site reaction | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ○ | ✓ | ○ |
| SD | Rash | ✓ | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release