XY8-30793-72493
5 vaccinations
7 coded responses
66 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 329 / FL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
-
2021-02-19
Survey response — 21 day, dose 1MedDRA: Head discomfort — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-05
Survey response — 7 day, dose 2MedDRA: Pain, Pre-existing disease, Respiratory tract congestion — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-30
- 2021-08-27
-
2021-10-28
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-21
Dose 4 — Moderna
- 2022-04-21
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot, Restlessness — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia — Feeling: Good · Site: Pain, Redness, SwellingMedDRA releases: 2024-11 · check-in answers available
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-22
-
2022-09-26
Dose 5 — Moderna
- 2022-09-26
-
2022-09-27
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-09-28
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-09-29
Survey response — days 1–6 daily, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2022-09-30
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity, Rotator cuff syndrome — Feeling: Good · Site: Pain, Redness, Swelling, ItchingMedDRA releases: 2024-11 · check-in answers available
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-18
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Free text
Release 3
Systemic reaction (other): Not sure about cause of headache
Release 4
Symptoms: Could be allergies to oak? Head felt stuffy.
Release 5
Systemic reaction (other): Head seems "stuffy". Not sure what it means. This is FL and weather keeps changing. Also two prior injuries are aching
Release 11
Systemic reaction (other): Last night, in bed, felt warm and unsettled. 3am
Systemic reaction (other): Had symptoms 1st night of joint pain, possible fever.....only at bedtime.
Release 12
Systemic reaction (other): Injection given in shoulder with a injuried rotar cup. Made the injury more sore
Systemic reaction (other): Injection site given on top of torn rotar cup. Arm sorer than usual
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 | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Condition aggravated | ○ | ○ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Restlessness | · | · | ✓ |
| SRO | Rotator cuff syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release