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XWK-31510-95398

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
980 / WA
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-02-11
    Dose 2 — Moderna
  3. 2021-02-15
    Registered in v-safe
  4. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Neuralgia, Swelling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Headache, Lymphadenopathy, Medical counselling, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-02-16
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-23
    Survey response — 7 day, dose 2
    MedDRA: Headache, Lymphadenopathy, Self-medication — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-02-23
    Report sent to call center — 7 day, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-25
    Health check-in — 14 day, dose 2
    Feeling: Poor
    Adult check-in
  10. 2021-03-04
    Survey response — 21 day, dose 2
    MedDRA: Lymphadenopathy, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-03-04
    Report sent to call center — 21 day, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-13
    Health check-in — 28 day, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-20
    Health check-in — 35 day, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-03-25
    Health check-in — 42 day, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-08-06

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-16 Unsuccessful
2021-02-23 Unsuccessful
2021-03-04 Unsuccessful

Free text

Release 4

Systemic reaction (other): Rt side swollen lymph nodes, Rt side occipital lobe swelling, if I turn my head too quickly nerve pain shoots up to my temple & back & top of head. - stops u in ur tracks. All started almost 24 hrs from my second shot. Been persistent x 4 days. Taking ibuprofen 200mg x 2 every 4-6 hrs with some relief.

Systemic reaction (other): Same as yesterday ( day 4), now on day 5 + had to consult my Dr d/t lymphadenopathy + debilitating headaches that ibuprofen & Tylenol every 4 hrs does not ease the pain

Systemic reaction (other): Thursday, Feb 18 was my worst night. Had blood panel drawn in day, that night I was in a fetal position overnight with head pain that Advil , nor Tylenol would touch. I almost took myself to the ER. I have an extremely high pain tolerance so for me to complain, you know its bad. Muscle relaxants exacerbated my headaches. Rt sided lymph nodes remain swollen( vaccination was on Rt side)

Release 5

Symptoms: Due to prolonged Lymphadenopathy on the right side ( same side as second inoculation). The lymph nodes so swollen, my nerves were affected. I now have Bells Palsy on Rt side of face. Cant close eye & so much more. Drs & ER Visits required.
Healthcare visit (other): Plus multiple visits to PCP

Free-text releases are not linked to a specific 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
HCVOOffice visit ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SROAsthenia · · ✓
SROHeadache ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMedical counselling · · ✓
SRONeuralgia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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