YJQ-30175-85141
1 vaccination
7 coded responses
15 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 503 / IA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Dose 1 — Moderna
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2021-01-28
Registered in v-safe
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Swelling face — Feeling: Poor · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling of my cheeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Swelling face — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen face with rash from ear downward to chinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Swelling — Feeling: Good · ChillsFree text: The rash is almost gone on my face. The swelling is gone also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
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2021-02-03
Survey response — day 7, dose 1MedDRA: Tinnitus — Feeling: GoodFree text: Ringing, buzzing in the earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
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2021-03-10
Survey response — day 42, dose 1MedDRA: Eye swelling, Swelling face — Feeling: GoodFree text: Swelling below my eyes to the bottom of my nose across to the other side of my cheeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — 3 months, dose 1MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extremely tired, low energy, lingering cough. No temperature.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
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2021-07-28
Survey response — 6 months, dose 1MedDRA: Ageusia, Anosmia, Dyspnoea, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have had shortness of breath. I am still having trouble tasting and smelling foods. I have periods of being extremely tired for longer periods.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-28 | Unsuccessful | |
| 2021-01-29 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Swelling of my cheeks
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen face with rash from ear downward to chin
Systemic reaction (other): The rash is almost gone on my face. The swelling is gone also.
Release 3 — day 7, dose 1
Systemic reaction (other): Ringing, buzzing in the ears
Release 5 — day 42, dose 1
Symptoms: Swelling below my eyes to the bottom of my nose across to the other side of my cheeks.
Release 8 — 3 months, dose 1
Symptoms: Extremely tired, low energy, lingering cough. No temperature.
Release 9 — 6 months, dose 1
Symptoms: I have had shortness of breath. I am still having trouble tasting and smelling foods. I have periods of being extremely tired for longer periods.
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 |
|---|---|---|---|---|
| SD | Ageusia | ✓ | · | ✓ |
| SD | Anosmia | ✓ | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Eye swelling | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release