Y9Y-32658-31554
3 vaccinations
9 coded responses
27 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 928 / CA
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-01
Registered in v-safe
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: SwellingFree text: I just signed up for vsafe but got my vaccine on 12/29. I want to clarify that the following day, 12/30 I had moderate pain and swelling at the injection site which required Tylenol for relief. I took Tylenol in the morning of 12/31 as well. I am only being prompted to answer how I feel today, which is much better! But I wanted to note the swelling and pain 24-48 hrs following the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-19
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2021-01-25
Dose 2 — Moderna
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Good · Site: Pain · HeadacheFree text: I have had random sharp lower right abdominal pain a couple of times today. Not sure if its related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-03
- 2021-02-08
- 2021-02-15
- 2021-02-22
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2021-03-01
Survey response — day 35, dose 2MedDRA: Dizziness, Hyperacusis, Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had some tinnitus, sensitivity to loud sounds and occasional bouts of dizziness. I have an appointment with an ENT next week to check out whats going on. · Healthcare visit (other): Visit with an ENT in person and hearing test scheduled for next weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-08
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2021-04-26
Survey response — 3 months, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: I am currently 5 days late on my mentrual cycle and Im normally pretty regular. No chance that I am pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-14
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2022-01-27
Survey response — 12 months, dose 2MedDRA: Blepharospasm, Food allergy, Office visit, Pruritus, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I recently had a couple mild allergic reactions that I've never before experienced. Allergic reaction to cinnamon tea. Also a itchy reaction with hives after going in the jacuzzi. Also, R eyelid bepharodpasm lasting weeks · Healthcare visit (other): Dermatologist office visitMedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-31
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2022-07-20
Dose 3 — Pfizer-BioNTech
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2022-07-23
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral, Tenderness — Feeling: GoodFree text: The night after my vaccine I started to feel sore underneath my axillary region. This morning I noticed it is very swollen and tender. It doesn't feel hard, just like there is a bunch of fluid accumulated in that region. It's like a water balloon!MedDRA releases: 2024-11 · check-in free text available
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2022-07-24
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: GoodFree text: The swelling under my axillary region has not improved and is still very tender. If it's not improved in a couple days I'll consult my GPMedDRA releases: 2024-11 · check-in free text available
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2022-07-26
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: I feel like the swelling under my arm is starting to improveMedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Survey response — day 7, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: My underarm swelling is definitely getting better! Phew! That was weird!MedDRA releases: 2024-11 · check-in free text available
- 2022-08-03
- 2022-08-12
- 2022-08-31
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2022-07-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-01 | Unsuccessful | |
| 2022-01-27 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I just signed up for vsafe but got my vaccine on 12/29. I want to clarify that the following day, 12/30 I had moderate pain and swelling at the injection site which required Tylenol for relief. I took Tylenol in the morning of 12/31 as well. I am only being prompted to answer how I feel today, which is much better! But I wanted to note the swelling and pain 24-48 hrs following the vaccine
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): I have had random sharp lower right abdominal pain a couple of times today. Not sure if its related to the vaccine.
Release 4 — day 35, dose 2
Symptoms: I have had some tinnitus, sensitivity to loud sounds and occasional bouts of dizziness. I have an appointment with an ENT next week to check out whats going on.
Healthcare visit (other): Visit with an ENT in person and hearing test scheduled for next week
Release 8 — 3 months, dose 2
Symptoms: I am currently 5 days late on my mentrual cycle and Im normally pretty regular. No chance that I am pregnant.
Release 11 — 12 months, dose 2
Symptoms: I recently had a couple mild allergic reactions that I've never before experienced. Allergic reaction to cinnamon tea. Also a itchy reaction with hives after going in the jacuzzi. Also, R eyelid bepharodpasm lasting weeks
Healthcare visit (other): Dermatologist office visit
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): The night after my vaccine I started to feel sore underneath my axillary region. This morning I noticed it is very swollen and tender. It doesn't feel hard, just like there is a bunch of fluid accumulated in that region. It's like a water balloon!
Systemic reaction (other): The swelling under my axillary region has not improved and is still very tender. If it's not improved in a couple days I'll consult my GP
Systemic reaction (other): I feel like the swelling under my arm is starting to improve
Release 12 — day 7, dose 3
Systemic reaction (other): My underarm swelling is definitely getting better! Phew! That was weird!
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Blepharospasm | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Food allergy | · | · | ✓ |
| SD | Hyperacusis | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release