YKK-26663-84337
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 559 / MN
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: This morning when I got up, I had swelling about the size of a large egg in my arm pit on the injected arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Swelling — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: Redness and swelling is less than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: There is still some swelling in my arm pit area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
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2021-08-25
Survey response — 6 months, dose 2MedDRA: Flank pain, Hypopnoea, Pain, Pulmonary embolism — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: A week and a half ago, I woke up in the morning with flank pain and it went around to the front. I could not take a deep breath. I was diagnosed with a pulmonary embolis. I am now on Xarelto blood thinner.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Pulmonary embolism — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had a pulmonary embolism in August. I am on xarelto now.MedDRA releases: 2024-11 · check-in free text available
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2022-02-24
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-25 | Unsuccessful | |
| 2022-02-24 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): This morning when I got up, I had swelling about the size of a large egg in my arm pit on the injected arm.
Systemic reaction (other): Redness and swelling is less than yesterday.
Systemic reaction (other): There is still some swelling in my arm pit area.
Release 9 — 6 months, dose 2
Symptoms: A week and a half ago, I woke up in the morning with flank pain and it went around to the front. I could not take a deep breath. I was diagnosed with a pulmonary embolis. I am now on Xarelto blood thinner.
Release 11 — 12 months, dose 2
Symptoms: I had a pulmonary embolism in August. I am on xarelto now.
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 | Flank pain | ✓ | · | ✓ |
| SD | Hypopnoea | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pulmonary embolism | ✓ | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release