XXC-20597-97517
4 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 959 / CA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-01-15
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Malaise, Rhinorrhoea, Tremor — Feeling: Good · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
-
2021-02-10
Dose 2 — Moderna
- 2021-07-14
-
2021-09-29
Dose 3 — Moderna
- 2022-01-13
-
2022-04-15
Dose 4 — Moderna
- 2022-04-15
-
2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-17
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Balance disorder, Dizziness — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Poor quality sleep — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-28
- 2022-07-15
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | No |
| 3 | 2021-09-29 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-17 | priority 2/3 |
Free text
Release 2
Systemic reaction (other): These symptoms all occurred last night after my daily check in when I felt just fine. About 7 pm I felt quite sick. I had one additional symptom not here --- my nose was running like crazy. I crawled in bed at 8, shaking. By this morning I was feeling fine. This afternoon I have a low grade headache but feel okay.
Release 11
Systemic reaction (other): Dizzy. "Off my pins."
Systemic reaction (other): I don't know if it's related but I am not sleeping well which is unusual for me.
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 |
|---|---|---|---|---|
| SRO | Balance disorder | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release