XY8-16392-97774
4 vaccinations
8 coded responses
22 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Registered in v-safe
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Insomnia, Nasal congestion, Pain — Feeling: Poor · Site: Pain · Fever · 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
- 2021-02-13
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthritis, Back pain, Nasopharyngitis, Pain in extremity, Pre-existing disease — Feeling: Fair · Muscle or body aches, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-17
-
2021-02-18
Survey response — 7 day, dose 2MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — 42 day, dose 2MedDRA: Dizziness, Headache — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-13
Survey response — 3 month, dose 2MedDRA: Arthralgia, Pyrexia — 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 consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-13
Report sent to call center — 3 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
-
2021-11-03
Dose 3 — Moderna
-
2022-02-11
Survey response — 12 month, dose 2MedDRA: Abdominal discomfort, Flatulence — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-07
- 2022-04-26
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
- 2022-10-01
-
2023-04-01
Survey response — 12 month, dose 4MedDRA: COVID-19, Tinnitus — 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2023-04-01
Report sent to call center — 12 month, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-04-04
Call successfulParticipant prefers to complete VAERS report online
-
2023-04-04
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-13 | Successful 2023-04-04 |
Participant prefers to complete VAERS report online |
| 2023-04-01 | Successful 2023-04-04 |
Participant prefers to complete VAERS report online |
Free text
Release 4
Systemic reaction (other): The worst was last night with such body pain all over that I could hardly sleep so I was very tired today and still body pains. Also stuffy nose this evening and feeling chilled but not shaking with chills.
Systemic reaction (other): Freezing weather, electricity out, no heat, so very cold!@
Systemic reaction (other): Power is out and very cold so that might account for any symptoms and arthritis, but since the vaccine e I have had leg pains at night. It could be because of my lower back.
Systemic reaction (other): Could be arthritis and cold weather
Release 6
Symptoms: Some dizziness and slight headache
Release 8
Symptoms: Joint aches and fever for one day
Release 11
Symptoms: Digestive upsets, gas
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 | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ○ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ○ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release