XZE-24365-39389
4 vaccinations
6 coded responses
48 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 630 / MO
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Chest pain, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Pain — Feeling: Fair · Muscle or body aches, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-15
- 2021-09-10
-
2021-11-13
Dose 3 — ModernaCo-administered: Flu
- 2021-11-13
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Oedema peripheral — Feeling: Fair · Headache, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
-
2022-08-05
Dose 4 — Moderna
-
2022-08-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-12
- 2022-08-19
- 2022-08-26
-
2022-09-03
Survey response — 28 day, dose 4MedDRA: Body temperature increased, Cough, Nasal congestion, Pharyngeal swelling — Feeling: PoorMedDRA releases: 2024-11 · check-in answers available
- 2022-09-09
- 2022-09-16
- 2023-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-13 | Moderna | Flu |
| 4 | 2022-08-05 | Moderna | No |
Free text
Release 5
Systemic reaction (other): Moderate pain under the left arm, the one in which I had the injection. It is on the front of my arm and a few inches down the chest. This began on Sat afternoon, but I forgot to report it. Also, my fever numbers from Saturday and Sunday occurred when I had fever reducing medication in my system.
Systemic reaction (other): Moderate pain under left arm & a few inches down my side (vaccine given in this arm)
Release 10
Systemic reaction (other): Pain & swelling under the arm in which I had the injection.
Systemic reaction (other): Pain & swelling under arm is decreasing.
Systemic reaction (other): Under the arm where I received the injection: swelling is gone, mild discomfort remains.
Release 12
Symptoms: Nasal congestion, throat swelling, light dry cough, fever 99.2.
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pharyngeal swelling | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release