YSW-19455-43937
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 890 / NV
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Condition aggravated, Inflammation, Pain, Pre-existing disease, Pyrexia, Swelling — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I didnt receive a check in after my vaccine but 12 hours later I had chills, aches, and fever for about 18 hours anc the filler I have in my face swelled significantly even filler from well over a year ago. It is just starting to recede. I had back surgery a month ago and also have significant inflammation in that area. Could be coincidental?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Dermal filler reaction, Post procedural inflammation, Spinal operation — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I had back surgery 5 weeks ago and have had severe inflammation at the surgical site. Not sure if its related or relevant but it does match the timeline. I also experienced swelling of my facial fillers. That is almost resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Pyrexia, Swelling — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had back surgery 4 weeks before my second shot so these symptoms may be unrelated but I have extreme swelling at my surgical site and extreme back pain plus the fever. I'm on antibiotics and they are surgically cleaning out my wound on Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 7, dose 2MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Back pain that is probably from the surgery I had March 1 but the pain started 2 days after my vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 14, dose 2MedDRA: Bacterial infection, Post procedural infection — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · HospitalizationFree text: Probably unrelated to vaccine. Developed a bacterial infection after surgery March 1. Symptoms started after vaccine but most likely preceded.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 14, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-05-02
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-03
-
2022-01-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-16 | Successful 2022-01-13 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I didnt receive a check in after my vaccine but 12 hours later I had chills, aches, and fever for about 18 hours anc the filler I have in my face swelled significantly even filler from well over a year ago. It is just starting to recede. I had back surgery a month ago and also have significant inflammation in that area. Could be coincidental?
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had back surgery 5 weeks ago and have had severe inflammation at the surgical site. Not sure if its related or relevant but it does match the timeline. I also experienced swelling of my facial fillers. That is almost resolved.
Systemic reaction (other): I had back surgery 4 weeks before my second shot so these symptoms may be unrelated but I have extreme swelling at my surgical site and extreme back pain plus the fever. I'm on antibiotics and they are surgically cleaning out my wound on Monday.
Release 7 — day 7, dose 2
Systemic reaction (other): Back pain that is probably from the surgery I had March 1 but the pain started 2 days after my vaccine
Release 7 — day 14, dose 2
Symptoms: Probably unrelated to vaccine. Developed a bacterial infection after surgery March 1. Symptoms started after vaccine but most likely preceded.
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 | Bacterial infection | ✓ | ✓ | ✓ |
| SD | Post procedural infection | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dermal filler reaction | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Post procedural inflammation | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Spinal operation | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release