XYM-19201-34316
3 vaccinations
5 coded responses
34 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 860 / AZ
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
-
2021-03-30
Health check-in — day 7, dose 1Feeling: Fair · Site: Itching · Headache, Joint painsAdult check-in
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Itching at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-06-02
- 2021-07-19
- 2021-10-19
-
2022-01-29
Dose 3 — Moderna
-
2022-01-29
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, SwellingFree text: Swollen lymph nodeMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Swollen and sore lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
- 2022-02-03
- 2022-02-04
- 2022-02-05
- 2022-02-12
- 2022-02-19
- 2022-02-26
- 2022-03-05
- 2022-03-12
-
2022-04-30
Survey response — 3 months, dose 3MedDRA: Nasal congestion, Nausea, Sneezing — Feeling: FairFree text: Stuffy nose, sneezing, nauseaMedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
Survey response — 6 months, dose 3MedDRA: Office visit, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): In person office bisitMedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-08-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2022-01-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-30 | Successful 2022-08-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 14, dose 1
Symptoms: Itching at injection site
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node
Systemic reaction (other): Swollen and sore lymph node
Release 11 — 3 months, dose 3
Symptoms: Stuffy nose, sneezing, nausea
Release 12 — 6 months, dose 3
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release