3PJ-28558-59571
1 vaccination
5 coded responses
12 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 599 / MT
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2020-12-29
Survey response — day 0, dose 1MedDRA: Hypoaesthesia oral, Paraesthesia oral, Swollen tongue, Tachycardia, Throat irritation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Itchy throat, swollen tongue, numb/tingling lips, tachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Report sent to call center — day 0, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Anaphylaxis treatment, Tachycardia — Feeling: Good · Site: PainFree text: This morning I was slightly tachycardic but I think that was more of a side effect from the epinephrine I was given yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-05
Survey response — day 7, dose 1MedDRA: Chest discomfort — Feeling: Fair · Fatigue or tirednessFree text: Chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — day 14, dose 1MedDRA: Arthralgia, Headache, Injection site erythema, Injection site pain, Injection site swelling, Neck pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left arm swelling, redness, pain at Injection site, pain into wrist and shoulder, daily Headaches, neck pain,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-16
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2021-01-16
Call successfulCompleted over the phone
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2021-01-19
Survey response — day 21, dose 1MedDRA: Musculoskeletal stiffness — Feeling: FairFree text: Everyday since the vaccine I have experienced neck pain. My neck is extremely stiff. Its sore. It pops all the time. I did not injury it. This is very out of the ordinary. No matter what I do, these symptoms wont go away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-03-30
- 2021-07-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Itchy throat, swollen tongue, numb/tingling lips, tachycardia
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): This morning I was slightly tachycardic but I think that was more of a side effect from the epinephrine I was given yesterday.
Release 1 — day 7, dose 1
Systemic reaction (other): Chest tightness
Release 1 — day 14, dose 1
Symptoms: Left arm swelling, redness, pain at Injection site, pain into wrist and shoulder, daily Headaches, neck pain,
Release 2 — day 21, dose 1
Symptoms: Everyday since the vaccine I have experienced neck pain. My neck is extremely stiff. Its sore. It pops all the time. I did not injury it. This is very out of the ordinary. No matter what I do, these symptoms wont go away.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SRO | Anaphylaxis treatment | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release