3XY-39598-03137
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 956 / CA
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-27
Dose 1 — Moderna
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2021-04-25
Dose 2 — Moderna
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2021-04-27
Registered in v-safe
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain, Pain in extremity, Pyrexia, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: I had mild fever, body aches, fatigue, severe pain in injection arm within 12 hours after the injection. Tylenol did not relieve any of the pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Swelling, ItchingFree text: Sore throat on one part of the throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling, Lymphadenopathy, Oropharyngeal pain, Tonsillar hypertrophy — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Tonsils on left side of throat (injection side) very swollen and throat hurts only on left side, glands on left side of neck under chin very swollen, injection area still swollen and inches insideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Pruritus, Tonsillitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Tonsillitis has progressed. Both sides of throat are red, swollen, and filled with pus. Injection arm is still swollen ans itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — day 7, dose 2MedDRA: Increased viscosity of upper respiratory secretion, Injection site pruritus, Injection site swelling, Lymphadenopathy, Oropharyngeal pain, Pain in extremity, Pharyngeal swelling — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Some swelling in the injection arm but the pain and itching are mostly gone. Throat still hurts, swollen, and haa white pus and lymph nodes under chin still swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-07-25
- 2021-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-25 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I had mild fever, body aches, fatigue, severe pain in injection arm within 12 hours after the injection. Tylenol did not relieve any of the pain.
Systemic reaction (other): Sore throat on one part of the throat
Systemic reaction (other): Tonsils on left side of throat (injection side) very swollen and throat hurts only on left side, glands on left side of neck under chin very swollen, injection area still swollen and inches inside
Systemic reaction (other): Tonsillitis has progressed. Both sides of throat are red, swollen, and filled with pus. Injection arm is still swollen ans itchy.
Release 8 — day 7, dose 2
Systemic reaction (other): Some swelling in the injection arm but the pain and itching are mostly gone. Throat still hurts, swollen, and haa white pus and lymph nodes under chin still swollen.
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 |
|---|---|---|---|---|
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Increased viscosity of upper respiratory secretion | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tonsillar hypertrophy | ✓ | ✓ | ✓ |
| SRO | Tonsillitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release