29K-21735-93589
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-13
-
2021-01-18
Survey response — day 14, dose 1MedDRA: Injection site rash, Lymph node pain, Lymphadenopathy, Self-medication — Feeling: GoodFree text: I had a large area of rash around the injection site started Saturday that is 12 days post injection swollen lymph node and painful. I took Tylenol and use cortisone cream which provides me with improvement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
-
2021-02-15
Dose 2 — Moderna
-
2021-02-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness · Fever · Chills, Headache, Joint painsAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 21, dose 2MedDRA: Headache, Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Be unable to workFree text: Numbness left side face and tongue with headache Went to Hospital and CT brain was negative.I had normal EKG with elevated troponins . I had a cardiac cath which was negative. With no prior heart disease. Could not understand why my labs was abnorma.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-24
-
2021-03-29
Survey response — day 42, dose 2MedDRA: Headache, Tongue discomfort — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Headache and burning sensation to tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
- 2021-08-16
- 2021-12-16
-
2021-12-23
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: I had a large area of rash around the injection site started Saturday that is 12 days post injection swollen lymph node and painful. I took Tylenol and use cortisone cream which provides me with improvement.
Release 5 — day 21, dose 2
Symptoms: Numbness left side face and tongue with headache Went to Hospital and CT brain was negative.I had normal EKG with elevated troponins . I had a cardiac cath which was negative. With no prior heart disease. Could not understand why my labs was abnorma. cut off by CDC
Release 6 — day 42, dose 2
Symptoms: Headache and burning sensation to tongue
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 | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Tongue discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release