SQ2-14078-40916
3 vaccinations
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 957 / CA
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
Z6D-78745-51406
Child or adolescent in my care · Male · 2022-01-15
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-03-25
Dose 2 — Moderna
-
2021-03-28
Registered in v-safe
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Swollen tongue — Feeling: Good · Site: Redness, Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Swollen tongue — Feeling: Good · Site: PainFree text: Swelling tongue gwtring betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-01
- 2021-04-10
- 2021-04-15
- 2021-05-08
- 2021-06-24
- 2021-09-25
-
2022-01-11
Dose 3 — Pfizer-BioNTech
- 2022-01-11
-
2022-01-13
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Feeling normal no pain no itchyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Nothing so far. Not swlling not itchy. Haven't taken any antihistaminesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-15
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: GoodFree text: Foggy memoryMedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
- 2022-01-23
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2022-01-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-28 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling tongue
Systemic reaction (other): Swelling tongue gwtring better
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feeling normal no pain no itchy
Systemic reaction (other): Nothing so far. Not swlling not itchy. Haven't taken any antihistamines
Systemic reaction (other): Foggy memory
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 | Brain fog | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release