XZC-15810-56277
3 vaccinations
7 coded responses
34 check-ins
7 free-text entries
3 call cases
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 451 / OH
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-11
- 2021-02-16
-
2021-02-19
Dose 2 — Moderna
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-21
- 2021-03-26
-
2021-04-03
Survey response — 42 day, dose 2MedDRA: Cough, Fatigue, Hypersensitivity, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-23
- 2021-08-20
-
2021-12-21
Dose 3 — Moderna
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-27
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-01-25
-
2022-02-01
Survey response — 42 day, dose 3MedDRA: Stress — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-02-01
Report sent to call center — 42 day, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-04
-
2022-03-22
Survey response — 3 month, dose 3MedDRA: Abdominal pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-03-22
Report sent to call center — 3 month, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-06-22
Survey response — 6 month, dose 3MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · 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: 2024-11 · check-in answers available
-
2022-06-22
Report sent to call center — 6 month, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-01 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-03-22 | Successful 2022-03-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-22 | Successful 2022-06-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6
Symptoms: I think i have a head cold, or maybe allergies? Cough, runny nose, stuffy, tired. No fever or loss of taste or smell.
Release 10
Systemic reaction (other): Lymph node swelling under arm on left side (same side as vaccine)
Systemic reaction (other): Continued mild pain in armpit/lymph node on side where vaccine was received.
Systemic reaction (other): Minor pain in lymph node under armpit on side where I got the vaccine. Pain is improving over last 2 days.
Release 11
Symptoms: No idea if this is related, but my wisdom teeth are now coming in. I don't know if it's vaccine related or due to stress.
Symptoms: Unspecified abdominal pain, possible diverticulitis. Treated emperically with antibiotics and resolved after about 4 weeks. Wisdom teeth began to grow in, even though I'm 34.
Healthcare visit (other): In-person visit with PCP and dentist. Surgical consult completed.
Release 12
Symptoms: Sinus infection (test confirmed not covid)
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 | Office visit | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release