XYC-62686-68418
4 vaccinations
8 coded responses
47 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
-
2021-03-26
Survey response — 0 day, dose 1MedDRA: Myalgia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-02
Survey response — 7 day, dose 1MedDRA: Fall, Myalgia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-09
Survey response — 14 day, dose 1MedDRA: Erythema, Influenza like illness, Pruritus — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-07-23
Survey response — 3 month, dose 2MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-07-23
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
-
2021-10-22
Survey response — 6 month, dose 2MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2021-10-22
Report sent to call center — 6 month, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-26
-
2021-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-11-12
Dose 3 — Moderna
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
-
2022-04-09
Dose 4 — Moderna
- 2022-04-19
- 2022-04-23
- 2022-04-30
- 2022-05-08
- 2022-05-14
- 2022-05-21
-
2022-07-09
Survey response — 3 month, dose 4MedDRA: Haematuria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-07-09
Report sent to call center — 3 month, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-08
-
2023-04-09
Survey response — 12 month, dose 4MedDRA: Parkinson's disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2023-04-09
Report sent to call center — 12 month, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-23 | Successful 2022-07-12 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-10-22 | Successful 2021-10-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-09 | Successful 2022-07-12 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-04-09 | Unsuccessful |
Free text
Release 6
Systemic reaction (other): Arm muscles a little sore
Systemic reaction (other): Arm is a little sore
Systemic reaction (other): Am experiencing a lot of soreness but most likely its from an overly long walk yesterday along with a trip and fall
Release 7
Symptoms: Arm got very red and itchy at vaccine site on the 8th day after vaccine. Red spread over the next 3 days and gradually disappeared along with itch. Also the 8th day after shot I felt flu symptoms for about 4 hours.
Release 9
Symptoms: Heart palpitations
Release 10
Symptoms: Heart palpitations
Release 12
Symptoms: Small amount of blood in urine
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Haematuria | · | · | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SD | Parkinson's disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release