XYX-50480-16950
5 vaccinations
7 coded responses
47 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 990 / WA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Fair · Fever · Chills, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — 14 day, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth, Self-medication, Urticaria — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Survey response — 0 day, dose 2MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-05-26
Survey response — 28 day, dose 2MedDRA: Fatigue, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-02
- 2021-06-09
- 2021-07-30
- 2021-10-27
-
2021-11-10
Dose 3 — Moderna
-
2022-04-22
Dose 4 — Moderna
- 2022-04-27
- 2022-04-28
- 2022-04-30
- 2022-05-08
- 2022-05-13
- 2022-05-21
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-10-10
Dose 5 — Moderna
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2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Myalgia, Nocturia, Pain of skin, Sleep disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-22
-
2023-01-09
Survey response — 3 month, dose 5MedDRA: Arrhythmia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Free text
Release 6
Systemic reaction (other): Difficulty sleeping last night
Systemic reaction (other): Heart Palpitations seem worse the last 3 days. May not be vaccine related.
Release 7
Symptoms: Raised red welt, about 2inch diameter, at injection site appeared on day 8. Slightly itchy and warm. Treated with topical Benadryl and it was gone in 3 days.
Release 8
Systemic reaction (other): Just had the shot 1.5 hours ago
Symptoms: Heart palpitations and fatigue. Not necessarily related to the vaccine but worse than normal.
Release 12
Systemic reaction (other): Had to urinate every couple hours night after vax; muscle, joint and skin pain kept me awake.
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 | Arrhythmia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Nocturia | · | · | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release