XXZ-16574-50065
2 vaccinations
9 coded responses
18 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 117 / NY
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Moderna
- 2021-04-09
-
2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site swelling, Insomnia, Pain — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-12
- 2021-04-14
- 2021-04-16
- 2021-04-23
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2021-04-30
Survey response — 21 day, dose 1MedDRA: Fatigue — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-14
-
2021-05-20
Dose 2 — Moderna
-
2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Arthralgia, Chest discomfort, Cough, Fatigue, Head discomfort, Headache, Photophobia — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Eye pruritus, Hypersensitivity, Nasal congestion, Pre-existing disease, Pruritus, Rash, Respiratory tract congestion, Throat irritation — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-04
Survey response — 14 day, dose 2MedDRA: Fatigue — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-10
Survey response — 21 day, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-19
-
2021-06-24
Survey response — 35 day, dose 2MedDRA: Fatigue — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-07-01
Survey response — 42 day, dose 2MedDRA: Fatigue, Somnolence — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-08-22
Survey response — 3 month, dose 2MedDRA: Fatigue — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-20 | Moderna |
Free text
Release 7
Systemic reaction (other): I've had some swelling in my arm and tenderness that inhibited my ability to. Reach up for hold things. It also affected my sleep making it hard to turn without pain which would wake me up at night. Today swelling is decreased, pain is milder, ability to move his improved.
Release 8
Symptoms: Very tired all week but starting to improve today.
Systemic reaction (other): Missed yesterday's check in continued headache mod. Joint pain abdominal pain mild extremely tired light sensitivity moderate, today my headache is milder but still feel pressure in my head and my chest feels heavy at times and I also had a very persistent cough from Friday night till last night. Cough is less frequent. Mostly on exertion. I have to rest frequently throughout the day from fatigue, head pressure, and chest pressure with breathing..
Systemic reaction (other): Notice a rash around my neck upper chest and ears, throat nose and arms beginning to itch, chest feels congested more than having allergy attack, eyes very itchy, nose is congested, I've been indoors started from this evening progressing.
Symptoms: Very tired but can function throughout the day.
Release 9
Symptoms: Just very tired. Have to rest a lot.
Symptoms: Tires easily. Must rest frequently.
Symptoms: Very tired most of the day, take frequent rest periods to get thought the day.
Symptoms: Nothing new just tiredness
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ○ | ○ | ○ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release