YRC-42514-65349
5 vaccinations
5 coded responses
34 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 286 / NC
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-05
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, NauseaFree text: MalaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-05
-
2021-03-10
Survey response — day 14, dose 2MedDRA: Injection site pruritus, Pruritus — Feeling: Good · Be unable to do your normal daily activitiesFree text: For the past five days, I have had intense itching in my vaccine arm from my shoulder to my elbow. There is no rash, swelling or redness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-26
- 2021-03-31
- 2021-04-09
- 2021-05-28
- 2021-08-26
-
2021-11-09
Dose 3 — Moderna
- 2022-02-24
-
2022-03-15
Dose 4 — Pfizer-BioNTech
- 2022-04-28
-
2022-06-15
Survey response — 3 months, dose 4MedDRA: Oral mucosal blistering, Tongue blistering — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: For the past 5 weeks, I have had blisters in my mouth and on my tongue. The blisters come and go, but I have not been completely clear.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-15
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-16
-
2022-10-06
Dose 5 — Pfizer-BioNTech
-
2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Swelling, Tenderness — Feeling: GoodFree text: I have tender swelling about the size of a golf ball. This very same happened with my 4th injection, though I didn't experience this with any of the first 3 moderna vaccines. Got Pfizer with 4th and 5th.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Survey response — days 1–6 daily, dose 5MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in armpit that occurred 24 after the vaccine is mostly gone. No tenderness.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-06
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-03-15 | Pfizer-BioNTech | No |
| 5 | 2022-10-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-15 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Malaise
Release 5 — day 14, dose 2
Symptoms: For the past five days, I have had intense itching in my vaccine arm from my shoulder to my elbow. There is no rash, swelling or redness.
Release 12 — 3 months, dose 4
Symptoms: For the past 5 weeks, I have had blisters in my mouth and on my tongue. The blisters come and go, but I have not been completely clear.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I have tender swelling about the size of a golf ball. This very same happened with my 4th injection, though I didn't experience this with any of the first 3 moderna vaccines. Got Pfizer with 4th and 5th.
Systemic reaction (other): Swelling in armpit that occurred 24 after the vaccine is mostly gone. No tenderness.
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 | Injection site pruritus | · | · | ✓ |
| SD | Oral mucosal blistering | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ○ |
| SD | Tongue blistering | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release