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
-
2021-01-20
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-01-27
Survey response — 7 day, dose 1MedDRA: Erythema, Urticaria — Feeling: Good · Site: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-05
Survey response — 14 day, dose 1MedDRA: 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 professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-05
Report sent to call center — 14 day, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: 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 consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-19
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-22
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-24
-
2021-03-31
Survey response — 42 day, dose 2MedDRA: Headache — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-07-06
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Malaise | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ○ |
| SD | Erythema | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site infection | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ○ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Immunisation | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release