25E-27921-29530
1 vaccination
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 558 / MN
- Registered
- 2021-09-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-10
Registered in v-safe
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2021-09-10
Dose 1 — Moderna
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2021-09-10
Survey response — day 0, dose 1MedDRA: Chest discomfort, Dizziness, Dysphonia, Pharyngeal swelling, Sensory loss — Feeling: Good · Site: PainFree text: Mild swelling in the throat with subsequent loss of sensation in the larynx, slight and sporadic dizziness, chest tightness and trouble with vocal projection.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-11
- 2021-09-12
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2021-09-15
Survey response — days 1–6 daily, dose 1MedDRA: Induration, Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: Very swollen lymph node in the injected arm. Lymph node is very hard, but moveable. It is very painful.MedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Swollen lymph node in the arm of injection. Causing some pain.MedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash around injection site, approximately 4 cm by 3.5 cm. Occurred 10 days after injection, went away after one day. Not itchy or painful. Just visibly there.MedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-28
- 2021-10-02
- 2021-10-08
- 2021-10-16
- 2021-10-22
- 2021-12-10
- 2022-03-11
- 2022-09-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Mild swelling in the throat with subsequent loss of sensation in the larynx, slight and sporadic dizziness, chest tightness and trouble with vocal projection.
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Very swollen lymph node in the injected arm. Lymph node is very hard, but moveable. It is very painful.
Release 9 — day 7, dose 1
Systemic reaction (other): Swollen lymph node in the arm of injection. Causing some pain.
Release 9 — day 14, dose 1
Symptoms: Rash around injection site, approximately 4 cm by 3.5 cm. Occurred 10 days after injection, went away after one day. Not itchy or painful. Just visibly there.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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 | Injection site rash | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dysphonia | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pharyngeal swelling | · | · | ✓ |
| SRO | Sensory loss | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release