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XYH-32261-85870

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
100 / NY
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — 0 day, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Good · Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pruritus, Oropharyngeal pain — Feeling: Fair · Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-01-21
    Health check-in — 7 day, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-28
    Survey response — 14 day, dose 1
    MedDRA: Chills, Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-02-05
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-11
    Health check-in — 28 day, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-17
    Dose 2 — Moderna
  12. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches
    Adult check-in
  14. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Good · Site: Pain, Swelling · Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Fatigue or tiredness
    Adult check-in
  16. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-24
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-03
    Survey response — 14 day, dose 2
    MedDRA: Fatigue — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-03-10
    Survey response — 21 day, dose 2
    MedDRA: Headache — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  21. 2021-03-17
    Survey response — 28 day, dose 2
    MedDRA: Abdominal pain upper, Fatigue — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  22. 2021-03-24
    Survey response — 35 day, dose 2
    MedDRA: Headache, Insomnia — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  23. 2021-04-01
    Survey response — 42 day, dose 2
    MedDRA: Headache — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  24. 2021-05-19
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-18
    Survey response — 6 month, dose 2
    MedDRA: Ear pain, Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  26. 2022-02-17
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-17Moderna

Free text

Release 2

Systemic reaction (other): A little brain Fog

Systemic reaction (other): Sore throat and itchy inner ears

Release 3

Symptoms: Very bad headache, body chills, low level nausea and fatigue. It lasted for 2 days but primarily in the early evening to early morning. I feel better today.

Release 4

Systemic reaction (other): Dizziness and ear pain

Systemic reaction (other): Ear pain - mild

Release 5

Symptoms: Fatigue

Symptoms: Headaches come and go, its odd.

Symptoms: Fatigue, stomach cramps

Release 6

Symptoms: Headaches continue, trouble sleeping, immune system feels taxed

Symptoms: Headaches are continuing. I had antibody testing through Quest 4 weeks after my 2nd vaccine which was negative. I am now being sent to a specialized lab for repeat testing at 6-8 weeks post 2nd vaccine.

Release 9

Symptoms: Fatigue, headache, ear pain, sore throat, body aches staring 14 hours after the 3rd vaccine to 48 hours post vaccine 8/13/21).

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
SDAbdominal pain upper ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDEar pain ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDPain ✓ · ✓
SRODizziness ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROEar pruritus ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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