4NY-50547-53157
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 841 / UT
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: FairFree text: Sore where I got the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Lip swelling — Feeling: Fair · Be unable to workFree text: Unsure if related to vaccine-Last night my bottom lip swelled significantly. Took Benadryl which took down most of swelling. Now have mild swelling a little lowerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Lip swelling — Feeling: GoodFree text: The swollen lip that I had reported yesterday that may or may not be related to the vaccine has gone down but still has mild swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
-
2021-01-13
Survey response — day 7, dose 1MedDRA: Burning sensation, Hypoaesthesia oral, Lip swelling, Paraesthesia oral, Self-medication — Feeling: FairFree text: Once again, not sure if this is related to the vaccine but my bottom lip swelled significantly last night. It has gone down about 50% since then (took Benadryl). During both episodes, my bottom lip swelled about as much as possible & it was numb and maybe a very faint tingling or burning sensation. I have no idea what has been causing this?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-03
Dose 2 — Moderna
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore where I got the vaccine
Systemic reaction (other): Unsure if related to vaccine-Last night my bottom lip swelled significantly. Took Benadryl which took down most of swelling. Now have mild swelling a little lower
Systemic reaction (other): The swollen lip that I had reported yesterday that may or may not be related to the vaccine has gone down but still has mild swelling
Release 1 — day 7, dose 1
Systemic reaction (other): Once again, not sure if this is related to the vaccine but my bottom lip swelled significantly last night. It has gone down about 50% since then (took Benadryl). During both episodes, my bottom lip swelled about as much as possible & it was numb and maybe a very faint tingling or burning sensation. I have no idea what has been causing this?
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 | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release