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
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
-
2021-03-13
Survey response — day 0, dose 1MedDRA: Paraesthesia oral, Swelling — Feeling: FairFree 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 shoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Lip swelling, Oropharyngeal discomfort, Paraesthesia oral — Feeling: Fair · Site: PainFree 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 FineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-20
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I have been well. How could I opt the out?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-09-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna |
Free text
Release 5 — day 0, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release