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XYB-92299-05046

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
921 / CA
Registered
2021-04-05
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Registered in v-safe
  2. 2021-04-05
    Dose 1 — Moderna
  3. 2021-04-05
    Health check-in — 0 day, dose 1
    Feeling: Good · Chills
    Adult check-in
  4. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-12
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-19
    Survey response — 14 day, dose 1
    MedDRA: Asthenia, Lethargy — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-04-26
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-03
    Dose 2 — Moderna
  13. 2021-05-03
    Health check-in — 0 day, dose 2
    Feeling: Fair · None
    Adult check-in
  14. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye irritation, Malaise, Myalgia — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Fair · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Self-medication, Swelling face — Feeling: Fair · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  17. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Swelling face — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  18. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache, Swelling face — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  19. 2021-05-10
    Survey response — 7 day, dose 2
    MedDRA: Chest discomfort — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-05-17
    Survey response — 14 day, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  21. 2021-05-24
    Health check-in — 21 day, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-31
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-07
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-14
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-03
    Health check-in — 6 month, dose 2
    Feeling: Fair
    Adult check-in
  26. 2022-05-05
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna
22021-05-03Moderna

Free text

Release 7

Systemic reaction (other): I have dermititis but it appears to have gotten worse since I got vaccinated. I would not claim a direct correlation since I have not taken any medication or sought any medical help yet.

Systemic reaction (other): My itch seems to be subsiding compared to yesterday.

Symptoms: I feel that I do not have enough energy and I feel lethargic. I can't establish a correlation between this condition and vaccination but I am reporting this anyway

Release 8

Systemic reaction (other): Malaise, muscular pain, burning eyes

Systemic reaction (other): Itching but can't establish correlation with vaccination.

Systemic reaction (other): Swelling Left side of the face. can't established if it is due to the second Morerna shot. I have taken Benadryl tablets.

Systemic reaction (other): I have facial swelling (left side only) for last two days. I don't have any facial fillers etc or any other underling cause to explain facial swelling. It was worse yesterday but it is improving now.

Systemic reaction (other): Facial swelling has subsided. fatigued. Very minor headache.

Systemic reaction (other): Felt chest pressure as one can feel in pneumonia.

Symptoms: Why the frequency of check-in changed?

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROEye irritation ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release