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
-
2021-08-28
Dose 1 — Moderna
-
2021-08-31
Registered in v-safe
-
2021-08-31
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-09-01
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-09-02
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Paraesthesia — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-09-03
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-09-04
Survey response — 7 day, dose 1MedDRA: Paraesthesia — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-09-13
Survey response — 14 day, dose 1MedDRA: Paraesthesia — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
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2021-09-19
Survey response — 21 day, dose 1MedDRA: Vertigo — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
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2021-09-26
Dose 2 — Moderna
- 2021-09-26
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2021-09-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain · HeadacheMedDRA releases: 2024-11 · check-in answers available
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2021-09-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work or attend schoolAdult check-in
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2021-10-01
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-10-05
- 2021-10-17
- 2021-10-24
- 2021-11-02
- 2021-12-28
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2022-09-26
Survey response — 12 month, dose 2MedDRA: Impaired healing, Sinus pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-28 | Moderna | No |
| 2 | 2021-09-26 | Moderna | 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Impaired healing | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Anxiety | ✓ | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Paraesthesia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release