XYW-10943-59090
2 vaccinations
9 coded responses
9 check-ins
9 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 028 / RI
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
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2021-04-08
Survey response — 7 day, dose 1MedDRA: Disorientation, Fatigue, Injection site pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-14
Survey response — 14 day, dose 1MedDRA: Arthralgia, Asthenia, Dyspnoea, Fatigue, Myalgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, 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
-
2021-04-14
Report sent to call center — 14 day, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Survey response — 21 day, dose 1MedDRA: Fatigue, Pain — 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
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2021-04-28
Dose 2 — Moderna
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Disorientation, Dyspnoea, Fatigue — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Dyspnoea, Fatigue, Pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-07-28
Survey response — 3 month, dose 2MedDRA: Dyspnoea, Fatigue, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-10-29
Survey response — 6 month, dose 2MedDRA: Arthralgia, Encephalopathy, Fatigue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11 · check-in answers available
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2021-10-29
Report sent to call center — 6 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
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2021-11-01
Call successfulDoes not wish to fill out VAERS report
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2022-04-28
Survey response — 12 month, dose 2MedDRA: Arthralgia, Dyspnoea, Fatigue, Productive cough, Pulmonary congestion — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Successful | Does not wish to fill out VAERS report |
| 2021-10-29 | Successful 2021-11-01 |
Does not wish to fill out VAERS report |
Free text
Release 7
Systemic reaction (other): Extreme fatigue, disorientation, soreness at injection site
Symptoms: Fatigue, lack of energy, labored breathing, pain in muscles and joints.
Symptoms: Chronic pain and extreme fatigue continue.
Release 8
Systemic reaction (other): Extreme fatigue, labored breathing
Systemic reaction (other): Extreme fatigue, disorientation, severe pain in joints, labored breathing
Systemic reaction (other): Extreme fatigue, body aches, elevated temperature, labored breathing
Release 9
Symptoms: Excessive fatigue, body aches, low grade fever, sporadic labored breathing
Release 10
Symptoms: Pain in joints, acute encephalopathy, extreme fatigue
Release 11
Symptoms: Extreme fatigue, pain joints-especially knees and back, breathing labored, upper lung flem, constant need to spit out flem.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Encephalopathy | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release