XY7-32494-24206
4 vaccinations
4 coded responses
31 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 451 / OH
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
-
2021-08-25
Survey response — 6 month, dose 2MedDRA: Condition aggravated, Pre-existing disease, Surgery — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-12-29
Dose 3 — Moderna
-
2022-02-26
Survey response — 12 month, dose 2MedDRA: Asthenia, Epistaxis, Malaise, Mobility decreased, Pyrexia, Surgery — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-03-30
Survey response — 3 month, dose 3MedDRA: Condition aggravated, Epistaxis, Pre-existing disease, Surgery, Vaginal cancer — Feeling: Good · 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: 2024-11 · check-in answers available
-
2022-03-30
Report sent to call center — 3 month, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-03-31
Call successfulParticipant prefers to complete VAERS report online
-
2022-05-24
Dose 4 — Moderna
-
2022-05-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-12-29 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-30 | Successful 2022-03-31 |
Participant prefers to complete VAERS report online |
Free text
Release 3
Systemic reaction (other): Wiped out for 3-4 hours
Release 9
Symptoms: I had an unrelated tumor return, causing more surgery.
Release 11
Symptoms: After battling several surgeries for severe nosebleeds, I was wiped out with fever & total weakness. I had not been able to get my third vaccine at that time, so I thought I was dealing with Covid symptoms. I could barely get of bed for the bathroom! cut off by CDC
Symptoms: Very serious nosebleeds;; a tumor I've dealt with for 40 years has returned; plus a second cancer has appeared vaginally. I've had 10 surgeries in the pat 14 months.
Healthcare visit (other): 10 surgeries
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 | Surgery | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Surgery | ✓ | · | ✓ |
| SD | Vaginal cancer | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release