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
-
2021-01-14
Dose 1 — Moderna
-
2021-02-11
Dose 2 — Moderna
-
2021-02-15
Registered in v-safe
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: 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 consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-16
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-23
Survey response — 7 day, dose 2MedDRA: 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 consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-23
Report sent to call center — 7 day, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
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2021-03-04
Survey response — 21 day, dose 2MedDRA: 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 visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-04
Report sent to call center — 21 day, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
- 2021-03-20
- 2021-03-25
- 2021-08-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
| Reported | Outcome | VAERS-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release