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XZG-14046-36927

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
078 / NJ
Registered
2021-01-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-25
    Registered in v-safe
  3. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  4. 2021-01-27
    Survey response — 7 day, dose 1
    MedDRA: Erythema, Urticaria — Feeling: Good · Site: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-02-05
    Survey response — 14 day, dose 1
    MedDRA: Erythema, Injection site erythema, Injection site infection, Office visit, Rash, Specialist consultation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-02-05
    Report sent to call center — 14 day, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-10
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-17
    Dose 2 — Moderna
  9. 2021-02-17
    Health check-in — 0 day, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunisation, Malaise, Rash, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-02-19
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  13. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  14. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  15. 2021-02-24
    Health check-in — 7 day, dose 2
    Feeling: Fair · Headache
    Adult check-in
  16. 2021-03-03
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-10
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-24
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-31
    Survey response — 42 day, dose 2
    MedDRA: Headache — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-07-06
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-17Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-05 Successful Participant prefers to complete VAERS report online
2021-02-19 Successful
2021-07-06
Participant prefers to complete VAERS report online

Free text

Release 2

Systemic reaction (other): I have a red welt on my right collar bone about 1.5 inches. Same arm as shot. Looks like a bug bite, but its not. Hopefully not related to vaccine!

Release 3

Symptoms: My arm and neck had red circles. Arpund where i got thr vaccine. I went to the dr and they said it was an infection from the vaccine needle. I went on Keflex 500mg. The infection went away
Healthcare visit (other): I went to my primary doctor at summit medical wjere i got thr vaccine

Release 4

Systemic reaction (other): Welt/rash by my collar bone same as 1st dose
Healthcare visit (other): I did not ferl well enough to go into the office

Release 6

Symptoms: Headaches but could be related to allergies

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
HCVOMalaise ✓ ✓ ✓
HCVOOffice visit · · ✓
HCVOSpecialist consultation ✓ ✓ ○
SDErythema · · ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema · · ✓
SDInjection site infection ✓ ✓ ✓
SDOffice visit · · ✓
SDRash ✓ ✓ ○
SROErythema ✓ ✓ ✓
SROImmunisation ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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