XYQ-81993-54313
2 vaccinations
6 coded responses
27 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 846 / UT
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-18
Survey response — 14 day, dose 1MedDRA: Erythema, Lymphadenopathy, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-18
Report sent to call center — 14 day, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-25
Survey response — 21 day, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-01
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, NauseaAdult check-in
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Axillary pain, Breast pain, Lymphadenopathy — Feeling: Good · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Flushing, Hot flush — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
-
2022-02-02
Survey response — 12 month, dose 2MedDRA: Back pain, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-05 | priority 2/3 | |
| 2021-01-18 | priority 2/3 |
Free text
Release 2
Symptoms: Arm where it was given went hard red and swollen for 48 hours. Had swelling in the lymph nodes on that side. This occured on the 15th day after the injection.
Symptoms: On Day 23 left arm around injection site started again with redness and swelling. Swelling lasted 4 days. I still have a little redness.
Release 3
Systemic reaction (other): Swollen lymph nodes and pain in right axillary which is the injection arm. Pain from right breast to right clavicle
Systemic reaction (other): Swollen and sore lymph nodes right axillary
Systemic reaction (other): Flushed and hot flashes
Release 11
Symptoms: Lymph node swelling and back aches after booster
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 |
|---|---|---|---|---|
| SD | Back pain | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release