XXM-81443-06468
4 vaccinations
9 coded responses
50 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-04-05
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal sensation in eye, Dry eye — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-05
- 2021-05-06
- 2021-05-08
-
2021-05-14
Survey response — 14 day, dose 2MedDRA: Chills, Diarrhoea, Headache, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-14
Report sent to call center — 14 day, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-21
-
2021-05-29
Survey response — 28 day, dose 2MedDRA: Campylobacter infection, Gastrointestinal bacterial infection — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-29
Report sent to call center — 28 day, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-06
- 2021-06-11
- 2021-07-30
- 2021-10-29
-
2021-12-02
Dose 3 — Moderna
- 2021-12-02
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-05
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-12-07
- 2021-12-09
-
2021-12-16
Survey response — 14 day, dose 3MedDRA: Headache, Oropharyngeal pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-25
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-02-10
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2022-03-03
Survey response — 3 month, dose 3MedDRA: Menstrual disorder — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-06-02
Survey response — 6 month, dose 3MedDRA: Malignant melanoma — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-06-02
Report sent to call center — 6 month, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-03
- 2022-06-03
- 2022-06-03
-
2022-09-06
Dose 4 — Moderna
- 2022-09-06
-
2022-09-08
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-13
- 2022-09-27
-
2022-10-04
Survey response — 28 day, dose 4MedDRA: Menstruation irregular — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-10-13
- 2022-10-18
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-09-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-14 | Unsuccessful | |
| 2021-05-29 | Unsuccessful | |
| 2022-06-02 | Unsuccessful |
Free text
Release 8
Systemic reaction (other): My eyes feel hot and dry
Systemic reaction (other): I keep feeling hot like I have a fever but dont actually have one.
Symptoms: Severe chills, headache, diarrhea, body aches
Symptoms: I have a severe bacterial GI infection from campylobacter
Release 10
Symptoms: Some headache, mild sore throat
Release 11
Symptoms: My menstrual cycle is different than it was before.
Symptoms: Diagnosed with melanoma. Can't imagine that's vaccine related at all.
Release 12
Systemic reaction (other): Some brain fog
Symptoms: I haven't gotten my period and I am not pregnant. I'm wondering if that is due to the vaccine.
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 | Campylobacter infection | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal bacterial infection | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malignant melanoma | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Abnormal sensation in eye | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release