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XZE-15851-17532

2 vaccinations 10 coded responses 17 check-ins 10 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
891 / NV
Registered
2021-08-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-28
    Dose 1 — Moderna
  2. 2021-08-31
    Registered in v-safe
  3. 2021-08-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  4. 2021-09-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Good
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  5. 2021-09-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety, Paraesthesia — Feeling: Good
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  6. 2021-09-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Good
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  7. 2021-09-04
    Survey response — 7 day, dose 1
    MedDRA: Paraesthesia — Feeling: Good
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  8. 2021-09-13
    Survey response — 14 day, dose 1
    MedDRA: Paraesthesia — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  9. 2021-09-19
    Survey response — 21 day, dose 1
    MedDRA: Vertigo — Feeling: Fair
    MedDRA releases: 2024-11 · check-in answers available
  10. 2021-09-26
    Dose 2 — Moderna
  11. 2021-09-26
    Health check-in — 0 day, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-09-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Headache
    MedDRA releases: 2024-11 · check-in answers available
  13. 2021-09-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work or attend school
    Adult check-in
  14. 2021-10-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  15. 2021-10-05
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-10-17
    Health check-in — 21 day, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-10-24
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-02
    Health check-in — 35 day, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-12-28
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-09-26
    Survey response — 12 month, dose 2
    MedDRA: Impaired healing, Sinus pain — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-28Moderna No
22021-09-26Moderna No

Free text

Release 9

Systemic reaction (other): Tingling in the palm and fingers of my right hand

Systemic reaction (other): Minimal tingling in the palm of my hands.

Systemic reaction (other): Minimal tingling in right hand and some anxiety.

Systemic reaction (other): Tingling now in my right foot and intermittent tingling in my right hand.

Systemic reaction (other): Tingling in my right foot and still some tingling in my right hand.

Symptoms: Still have tingling in my right hand.

Symptoms: Some vertigo.

Systemic reaction (other): Sore arm at the injection site.

Systemic reaction (other): Minor anxiety.

Release 12

Symptoms: My sinus cavity on the right side of my nose has been tender for several months. It doesn't seem to heal.

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

FieldPreferred term2021-092023-042024-11
SDImpaired healing · · ✓
SDParaesthesia · · ✓
SDSinus pain · · ✓
SDVertigo · · ✓
SROAnxiety ✓ · ✓
SROInjection site pain · · ✓
SROParaesthesia ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release