XYS-24734-61899
5 vaccinations
16 coded responses
64 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 439 / OH
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Nausea, Pain — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
-
2021-03-10
Survey response — 0 day, dose 2MedDRA: Dysgeusia, Parosmia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-12
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — 21 day, dose 2MedDRA: Gastroenteritis viral — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-10-23
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Erythema, Pain, Peripheral swelling, Pruritus — Feeling: Good · Site: Redness, ItchingMedDRA releases: 2024-11 · check-in answers available
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-07-13
Dose 4 — Moderna
-
2022-07-13
Survey response — 0 day, dose 4MedDRA: Pain in extremity — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-07-14
Survey response — days 1–6 daily, dose 4MedDRA: Nausea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-07-15
Survey response — days 1–6 daily, dose 4MedDRA: Myalgia — Feeling: Good · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2022-07-16
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain upper — Feeling: Good · Muscle or body aches, Abdominal painMedDRA releases: 2024-11 · check-in answers available
-
2022-07-17
Survey response — days 1–6 daily, dose 4MedDRA: Feeling abnormal — Feeling: Good · HeadacheMedDRA releases: 2024-11 · check-in answers available
- 2022-07-18
-
2022-07-19
Survey response — days 1–6 daily, dose 4MedDRA: Back pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-07-20
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-10-12
-
2022-10-28
Dose 5 — Moderna
- 2022-10-28
-
2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
- 2022-10-30
-
2022-10-31
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2022-11-01
-
2022-11-02
Survey response — days 1–6 daily, dose 5MedDRA: Headache — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-11-03
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-28
- 2022-12-02
- 2022-12-09
-
2023-01-29
Survey response — 3 month, dose 5MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2023-04-28
Survey response — 6 month, dose 5MedDRA: Medical counselling, Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2023-04-28
Report sent to call center — 6 month, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-02
-
2023-05-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-07-13 | Moderna | No |
| 5 | 2022-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-28 | Successful 2023-05-02 |
Participant prefers to complete VAERS report online |
Free text
Release 4
Systemic reaction (other): In the mid of last night I felt a little achy and nauseous. It was gone by morning.
Release 5
Systemic reaction (other): Not so far. Just had a funny taste in my mouth after the shot. I also had a funny smell in my nose.
Systemic reaction (other): These were mild and went away. I only experienced them for 5 hours.
Systemic reaction (other): I had a little muscle tiredness. I just feel a little off.
Release 6
Symptoms: I think I have a stomach virus. I am subbing and it is going around the school.
Release 10
Systemic reaction (other): The day after I got my shot I had a slight temperature of 99, and some bodyaches. My arm got ted a little swollen and itchy by the end of the day.
Release 12
Systemic reaction (other): Just sore arm so far.
Systemic reaction (other): Nauseous in the middle of last night.
Systemic reaction (other): Just some muscle soreness more than anything.
Systemic reaction (other): I woke up with stomach cramping but it went away after two hours.
Systemic reaction (other): I feel almost back to normal.
Systemic reaction (other): A tiny soreness in between my shoulder blades.
Systemic reaction (other): I had a few my taste in my mouth.
Systemic reaction (other): A little headache.
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release