XZF-90740-10416
5 vaccinations
6 coded responses
45 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-22
-
2021-01-29
Survey response — 14 day, dose 1MedDRA: Injection site rash — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult 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
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-11-03
Dose 3 — Moderna
- 2022-02-12
-
2022-04-28
Dose 4 — Moderna
- 2022-04-28
-
2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-30
- 2022-05-01
- 2022-05-02
-
2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-05-04
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-05-05
Survey response — 7 day, dose 4MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
-
2022-07-28
Survey response — 3 month, dose 4MedDRA: Bronchitis, Bronchospasm, COVID-19, Cough, Inflammation — 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
-
2022-07-28
Report sent to call center — 3 month, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-29
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-29
Dose 5 — ModernaCo-administered: Flu
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
-
2022-12-29
Survey response — 3 month, dose 5MedDRA: Influenza, Influenza A virus test positive — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-09-29 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-28 | Successful 2022-07-29 |
Participant prefers to complete VAERS report online |
Free text
Release 3
Symptoms: Small rash at injection site, less than 24 hours after my last check-in a week ago. Maybe lasted a day.
Release 11
Systemic reaction (other): Sore throat
Systemic reaction (other): Scratchy throat, slight congestion and a little cough. Tested positive for Covid this morning!
Systemic reaction (other): Cough and congestion, tested positive for Covid on Wednesday
Release 12
Symptoms: Post viral cough caused by bronchial spasms, due to inflammation from either Covid or bronchitis.
Symptoms: Flu A, tested positive, but virtually asymptomatic. Vaccinated for Flu September.
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 | Bronchitis | · | · | ✓ |
| SD | Bronchospasm | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release