XZH-31483-73858
4 vaccinations
8 coded responses
22 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 207 / MD
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-24
-
2021-03-31
Survey response — 21 day, dose 1MedDRA: Hypotension — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure decreased — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Hypotension, Night sweats — Feeling: Fair · Headache, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-13
- 2021-04-14
- 2021-04-24
- 2021-04-28
- 2021-05-05
- 2021-05-20
-
2021-07-09
Survey response — 3 month, dose 2MedDRA: Unevaluable event — Feeling: Good · 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
-
2021-07-09
Report sent to call center — 3 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-15
-
2021-08-27
Dose 3 — Moderna
- 2021-10-06
-
2022-03-14
Dose 4 — Pfizer-BioNTech
- 2022-04-07
- 2022-04-30
-
2022-06-13
Survey response — 3 month, dose 4MedDRA: Cough, Fatigue, Headache, Office visit, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-06-13
Report sent to call center — 3 month, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-14
- 2022-06-14
-
2023-03-14
Survey response — 12 month, dose 4MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2023-03-14
Report sent to call center — 12 month, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-15
- 2023-03-15
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-08-27 | Moderna | No |
| 4 | 2022-03-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-09 | Unsuccessful | |
| 2022-06-13 | Unsuccessful | |
| 2023-03-14 | Unsuccessful |
Free text
Release 5
Systemic reaction (other): A little tired
Release 6
Symptoms: Low blood pressure. On meds for HBP so take every day. Noticed it running continually lower than normal for me.
Release 7
Systemic reaction (other): Slept most of the day
Systemic reaction (other): Blood pressure lower than normal
Systemic reaction (other): Night sweats. Low blood pressure. On medication for HPB. Did not take those meds bc my pressure was already low.
Release 9
Symptoms: Tick bite
Release 12
Symptoms: Cough, nose running, fatigue. chest congestion, headache. Symptoms for 10 days. Negative COVID test
Healthcare visit (other): Also primary doc visit.
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 | Office visit | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Blood pressure decreased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release