XYY-76828-34713
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 323 / FL
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Moderna
-
2021-02-21
Registered in v-safe
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Glossodynia, Pharyngeal swelling, Pruritus, Respiratory tract congestion, Sneezing — Feeling: Fair · Headache, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Flushing, Glossodynia, Hypersensitivity, Muscle tightness, Pharyngeal swelling, Pruritus, Respiratory tract congestion — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-23
- 2021-02-24
- 2021-02-25
-
2021-03-04
Survey response — 14 day, dose 1MedDRA: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-11
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-05-01
Survey response — 42 day, dose 2MedDRA: Dizziness, Fatigue, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Free text
Release 4
Systemic reaction (other): Yes, last night (which was about 50 hours after I had the shot) I experienced throat swelling, tongue hurt, congestion, lots of sneezing, itchy and burning sensation on my back, arms, and face.
Systemic reaction (other): I would like some feedback regarding the allergic reaction I reported yesterday. I had a flushed face, swollen throat, congestion, sore tongue, tightness in my neck, and burning/itchy sensations on my face, back, and arms. It lasted about 5 hours. Its fine now.
Release 5
Symptoms: The injection site, which previously had no symptoms at all, became red, a little swollen, and heated. There were a few rashy looking spots as well. The red heated area covered an area of about 2.5 inches long by about 1 inch wide around the injectio cut off by CDC
Release 6
Systemic reaction (other): Both the fatigue and nausea come and go.
Release 8
Symptoms: Dizziness, room spinning, fatigue.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release