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5PY-15600-35731

1 vaccination 3 coded responses 9 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
970 / OR
Registered
2021-03-13
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Registered in v-safe
  2. 2021-03-13
    Dose 1 — Moderna
  3. 2021-03-13
    Survey response — day 0, dose 1
    MedDRA: Paraesthesia oral, Swelling — Feeling: Fair
    Free text: Tingling on the upper lip not severe & feeling of swelling a little, not severe, so did not call 911. These happened right after the sho
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Lip swelling, Oropharyngeal discomfort, Paraesthesia oral — Feeling: Fair · Site: Pain
    Free text: Additional symptoms I experienced after the first shot on March 13 were a full pressure in the center of the chest & the feeling of sitting stuck or pressure in the lower part of the throat. These along the tingling in the upper lips & the minor swelling lasted 5-6 hours.Now Fine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-20
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I have been well. How could I opt the out?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-12
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-09-11
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna

Free text

Release 5 — day 0, dose 1

2021-03-13

Systemic reaction (other): Tingling on the upper lip not severe & feeling of swelling a little, not severe, so did not call 911. These happened right after the sho

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Additional symptoms I experienced after the first shot on March 13 were a full pressure in the center of the chest & the feeling of sitting stuck or pressure in the lower part of the throat. These along the tingling in the upper lips & the minor swelling lasted 5-6 hours.Now Fine

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): I have been well. How could I opt the out?

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

FieldPreferred term2021-092023-042024-11
SROChest discomfort ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROOropharyngeal discomfort ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release