XXB-13079-27928
2 vaccinations
9 coded responses
23 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 775 / TX
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
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2021-01-04
Dose 1 — Moderna
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2021-01-04
Survey response — 0 day, dose 1MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Myalgia, Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-18
- 2021-01-25
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2021-02-01
Dose 2 — Moderna
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2021-02-01
Survey response — 0 day, dose 2MedDRA: Dizziness — Feeling: Fair · Headache · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to workAdult check-in
- 2021-02-09
- 2021-02-15
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2021-02-22
Survey response — 21 day, dose 2MedDRA: Injection site movement impairment, Injection site pain — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-01
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2021-03-08
Survey response — 35 day, dose 2MedDRA: Myalgia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-15
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2021-05-03
Survey response — 3 month, dose 2MedDRA: Injection site pain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-08-02
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2022-02-01
Survey response — 12 month, dose 2MedDRA: Arthralgia, Gastroenteritis viral, Influenza, Muscular weakness, Tendon disorder — Feeling: Poor · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-07 | priority 2/3 |
Free text
Release 1
Systemic reaction (other): These are because I have SLE, not because of the vaccine.
Systemic reaction (other): Muscle and body aches could be SLE, but the fatigue was def from the injection
Systemic reaction (other): I've had diarrhea for 3-4 days but by the time I check in it's gone and I have forgotten about it
Release 3
Systemic reaction (other): A little dizzy
Systemic reaction (other): I think yesterday was due to a head cold and maybe a flare up of my Lupes SLE
Release 4
Symptoms: Sore in muscles of arm of injection site. Its actually just never gone away since my first shot. There are times I cannot raise my arm above shoulder height. Lifting is an issue also, but managed.
Release 5
Symptoms: The muscles in my arm where I got the shot are still hurting. I havent put this on some of the other check ins because I thought it was ridiculous. Now Im beginning to wonder.
Release 8
Symptoms: The spot where I received my first shot is still hurting me. I dont know if it hit a nerve or what, but the pain is real.
Release 11
Symptoms: Since my third full shot, I have been sick twice with symptoms of the flu and/or stomach virus. I have pain and weakness in my shoulder of the arm I received the shot. Feels like rotator cuff issues.
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 | Arthralgia | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site movement impairment | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Tendon disorder | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release