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SKK-46558-28868

2 vaccinations 3 coded responses 3 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
179 / PA
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-20
    Survey response — day 7, dose 1
    MedDRA: Breast feeding, Breast pain, Capillary fragility, Eye swelling, Ocular hyperaemia, Pre-existing disease, Rash macular, Rash neonatal — Feeling: Fair · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Breast feeding daughter with terrible diaper rash that started 5 days after vaccination- never had a diaper rash in 2 years. I have breast pain that started the day of vaccination. My inner lining of eyes started with extreme redness and blotchy broken capillaries yesterday- worse today. Eyes are swollen- I do not have allergies or had this happen before. I do have autoimmune dz
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-26
    Survey response — day 14, dose 1
    MedDRA: Oral discomfort, Tongue discomfort — Feeling: Fair
    Free text: Lips and tongue burning but do not see anything concerning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Dose 2 — Moderna
  6. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Cheilitis, Lip swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Swollen lips and irritation around lips
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna

Free text

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Breast feeding daughter with terrible diaper rash that started 5 days after vaccination- never had a diaper rash in 2 years. I have breast pain that started the day of vaccination. My inner lining of eyes started with extreme redness and blotchy broken capillaries yesterday- worse today. Eyes are swollen- I do not have allergies or had this happen before. I do have autoimmune dz

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Lips and tongue burning but do not see anything concerning

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Swollen lips and irritation around lips

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
SDOral discomfort ✓ ✓ ✓
SDTongue discomfort ✓ ✓ ✓
SROBreast feeding ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROCapillary fragility ✓ ✓ ✓
SROCheilitis ✓ ✓ ✓
SROEye swelling ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROOcular hyperaemia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORash macular ✓ ✓ ✓
SRORash neonatal ○ ✓ ○

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