6RA-29418-50353
4 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 257 / WV
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
-
2021-01-14
Survey response — day 0, dose 1MedDRA: Angioedema — Feeling: GoodFree text: I have angioadema and anaphylactic reactions to my blood pressure medicine and allergies. I carry a prescribed Epipen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-23
Dose 2 — Moderna
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My lymph nodes in my right arm pit is swollen. Has been swollen since the night of my second Moderna vaccine shot. I got the shot in my right arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Lymph nodes in my right arm pit is swollen, the same arm I had the COVID-19 second vaccine shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-24
Survey response — day 28, dose 2MedDRA: Self-medication, Urticaria — Feeling: GoodFree text: I have been breaking out in hives welts for the past couple of weeks after receiving the second injection. I do have to carry an Epipen with me due to angioadema. Not sure if the hives are correlated to my receiving the 2 COVID-19 vaccines?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Survey response — day 35, dose 2MedDRA: Pruritus, Swelling, Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: Hives, itching, and swelling to various locations on my body for the past couple of weeks after second COVID-19 shot; injection arm, opposite arm, stomach, chest, waist, face, lips, legs, feet, arm pits. This has happened daily since the second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-05-25
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body achesAdult check-in
- 2021-10-28
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-04-01
Dose 4 — Moderna
- 2022-04-28
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
- 2022-10-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): I have angioadema and anaphylactic reactions to my blood pressure medicine and allergies. I carry a prescribed Epipen.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My lymph nodes in my right arm pit is swollen. Has been swollen since the night of my second Moderna vaccine shot. I got the shot in my right arm.
Systemic reaction (other): Lymph nodes in my right arm pit is swollen, the same arm I had the COVID-19 second vaccine shot.
Release 6 — day 28, dose 2
Symptoms: I have been breaking out in hives welts for the past couple of weeks after receiving the second injection. I do have to carry an Epipen with me due to angioadema. Not sure if the hives are correlated to my receiving the 2 COVID-19 vaccines?
Release 6 — day 35, dose 2
Symptoms: Hives, itching, and swelling to various locations on my body for the past couple of weeks after second COVID-19 shot; injection arm, opposite arm, stomach, chest, waist, face, lips, legs, feet, arm pits. This has happened daily since the second shot. cut off by CDC
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 | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Angioedema | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release