YD5-17167-15494
4 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 041 / ME
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
-
2021-03-12
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: A feeling of a swollen lymph node on the right side of my neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Hives, but those are pretty typical for me around my period which I am on. They might be slightly worse from the immune response, but hives are not atypical for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Angioedema, Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Angioedema of the tongue. Called my doctor and since I have a history of this happening I took 100 mg Benadryl over 5 hours and it went down significantly. I have chronic idiopathic urticaria and occasionally get Angioedema especially when fighting off something.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-12
- 2021-04-16
- 2021-04-23
- 2021-05-02
- 2021-05-07
- 2021-05-21
-
2021-10-08
Dose 3 — Moderna
- 2021-10-08
- 2022-03-25
- 2022-04-09
-
2022-09-16
Dose 4 — Pfizer-BioNTech
- 2022-10-03
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-10-08 | Moderna | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-11 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A feeling of a swollen lymph node on the right side of my neck.
Systemic reaction (other): Hives, but those are pretty typical for me around my period which I am on. They might be slightly worse from the immune response, but hives are not atypical for me.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Angioedema of the tongue. Called my doctor and since I have a history of this happening I took 100 mg Benadryl over 5 hours and it went down significantly. I have chronic idiopathic urticaria and occasionally get Angioedema especially when fighting off something.
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 |
|---|---|---|---|---|
| SRO | Angioedema | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release