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
-
2021-03-12
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
-
2021-03-20
Survey response — day 7, dose 1MedDRA: 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 siteFree 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 dzMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 14, dose 1MedDRA: Oral discomfort, Tongue discomfort — Feeling: FairFree text: Lips and tongue burning but do not see anything concerningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Dose 2 — Moderna
-
2021-04-16
Survey response — day 7, dose 2MedDRA: Cheilitis, Lip swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: Swollen lips and irritation around lipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Free text
Release 6 — day 7, dose 1
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
Symptoms: Lips and tongue burning but do not see anything concerning
Release 7 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Oral discomfort | ✓ | ✓ | ✓ |
| SD | Tongue discomfort | ✓ | ✓ | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Capillary fragility | ✓ | ✓ | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Rash neonatal | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release