XXD-13137-35599
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 129 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
-
2021-01-14
Survey response — 0 day, dose 1MedDRA: Chest discomfort, Injection site paraesthesia — Feeling: Poor · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-14
Report sent to call center — 0 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-15
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Office visit — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-12
Dose 2 — Moderna
-
2021-02-25
Survey response — 7 day, dose 2MedDRA: Office visit — Feeling: Good · Site: Pain · Joint pains · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-25
Report sent to call center — 7 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
-
2021-03-05
Survey response — 21 day, dose 2MedDRA: Immunisation reaction, Medical counselling, Myalgia, Office visit, Pulmonary congestion, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-05
Report sent to call center — 21 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-08
-
2021-03-12
Survey response — 28 day, dose 2MedDRA: Back pain, Cough, Myalgia — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-21
- 2021-03-28
- 2021-05-14
- 2021-08-13
- 2021-11-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | Unsuccessful | |
| 2021-02-25 | Unsuccessful | |
| 2021-03-05 | Unsuccessful |
Free text
Release 2
Systemic reaction (other): Arm tingling where shot went and chest pulling sensation
Systemic reaction (other): My lower back has been hurting
Systemic reaction (other): Health condition-I had adverse reaction. Now (b)(6) is billing me as an office visit to check over those effects. They asked do you want someone to look at you or go home and observe? They did not tell me it would be billed as an office visit. Is this legal?
redacted (b)(6)
Release 4
Healthcare visit (other): Chiropractor
Release 5
Symptoms: Lower body muscle ache and congestion in my lungs-I had a horrible reaction 12 hrs after 2nd shot-then 24 hrs better.. week later this began
Healthcare visit (other): Chiropractor 3x
Symptoms: I still lower back/muscle pain and an annoying/persistent dry cough
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 | Medical counselling | ✓ | ✓ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ○ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release