XYK-29756-33677
4 vaccinations
5 coded responses
34 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 442 / OH
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-10
Survey response — 14 day, dose 2MedDRA: Dyspnoea, Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-10
Report sent to call center — 14 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-05-26
Survey response — 3 month, dose 2MedDRA: Abdominal pain upper, Dyspnoea, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-26
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-18
Dose 3 — Moderna
-
2021-08-25
Survey response — 6 month, dose 2MedDRA: Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-11-17
Survey response — 3 month, dose 3MedDRA: Mobility decreased — 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
-
2021-11-17
Report sent to call center — 3 month, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-18
-
2022-01-28
Dose 4 — Moderna
- 2022-02-16
- 2022-02-16
- 2022-02-18
- 2022-02-25
- 2022-03-04
- 2022-03-11
- 2022-04-29
- 2022-07-31
- 2023-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-08-18 | Moderna | No |
| 4 | 2022-01-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-10 | Unsuccessful | |
| 2021-05-26 | Unsuccessful | |
| 2021-11-17 | Unsuccessful |
Free text
Release 3
Systemic reaction (other): No. Finally normal ?
Release 5
Symptoms: Shortness of breath. Higher than normal heart rates Still able to do normal activities, but slower ... less effort. Cardiologist appointment upcoming
Release 8
Symptoms: Shortness of breath. Stomach cramps. Muscle soreness
Healthcare visit (other): Cleveland Clinic COVID follow up program
Release 9
Symptoms: Received third ( booster) vaccine on 8/19/21. Experienced fever (102.7) reaction starting 12 hrs later and lasting 10 hrs
Release 10
Symptoms: Limited flexibility of both hands. Developed within 4 weeks of each other
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release