2JP-26355-51158
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 060 / CT
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Ear congestion, Ear pain, Ear swelling, Lymph node pain, Lymphadenopathy, Neck pain — Feeling: Fair · Site: Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: When i first received my shot felt a little soreness in my side of neck up to my ear on the injection side, as yesterday and today the gland swelling and ear fullness on that same side has swollen more each day. Today the neck gland on that side is very large and getting sore as well as the ear fullness. . I feel fine otherwise just getting a bit concerned about the very swollen neck gland. Please advise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-02
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Medical observation — Feeling: Good · Site: Swelling · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Gland swelling on same side as injection · Healthcare visit (other): I work for ENT, had a quick gland checkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-04
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Tenderness — Feeling: Fair · Site: SwellingFree text: Left side gland swelling same side as vaccine given, area tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Survey response — day 7, dose 1MedDRA: Swelling — Feeling: Good · Site: SwellingFree text: Swelling in neck coming downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-01
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Brain fog, Memory impairment — Feeling: FairFree text: Foggy brain, memoryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): When i first received my shot felt a little soreness in my side of neck up to my ear on the injection side, as yesterday and today the gland swelling and ear fullness on that same side has swollen more each day. Today the neck gland on that side is very large and getting sore as well as the ear fullness. . I feel fine otherwise just getting a bit concerned about the very swollen neck gland. Please advise.
Systemic reaction (other): Gland swelling on same side as injection
Healthcare visit (other): I work for ENT, had a quick gland check
Systemic reaction (other): Left side gland swelling same side as vaccine given, area tender
Release 1 — day 7, dose 1
Systemic reaction (other): Swelling in neck coming down
Release 8 — 3 months, dose 2
Symptoms: Foggy brain, memory
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 |
|---|---|---|---|---|
| HCVO | Medical observation | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Ear congestion | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Ear swelling | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release