XYV-16950-07555
2 vaccinations
11 coded responses
25 check-ins
11 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 483 / MI
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Eructation — Feeling: Good · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Eructation — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-25
Survey response — 7 day, dose 1MedDRA: Eructation — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence, Vaccine positive rechallenge — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Eructation, Flatulence — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Eructation, Flatulence — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-25
Survey response — 7 day, dose 2MedDRA: Flatulence — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-01
- 2021-04-10
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-06-17
Survey response — 3 month, dose 2MedDRA: Chest pain, Emergency care — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-09-16
- 2022-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Free text
Release 4
Systemic reaction (other): Chest has felt a little tight since last night, could also be related to asthma as well.
Systemic reaction (other): Extreme burping the last 36 hours. Chest feels a little tight still.
Systemic reaction (other): Tight chest
Systemic reaction (other): Still extreme burping. Cautiously watching what I'm drinking and eating and the burping just continues.
Systemic reaction (other): The burping is out of control.
Release 6
Systemic reaction (other): Very gassy again
Systemic reaction (other): Gas. Extremely gassy. Same with the first one.
Systemic reaction (other): Gas, farting and burping like crazy still.
Systemic reaction (other): Legit so much burping and farting it's ridiculous.
Systemic reaction (other): Gassy
Release 9
Symptoms: Chest pain the last 48 hours, spent 4 hours in the ER yesterday.
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release