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YTX-70034-87880

2 vaccinations 15 coded responses 20 check-ins 15 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
338 / FL
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-23
    Dose 1 — Moderna
  3. 2021-03-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Injection site is a little red and feels feverish
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site nodule, Injection site pruritus, Injection site reaction, Injection site warmth, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Knot at injection site is still there. Also still red and a little feverish. Started itching today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache
    Free text: Knot at injection site is still there. Not as swollen, still a little red, but not as feverish.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Pain, Pyrexia, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Nit as sore today. Swelling continues to go down. Still a little red , not as feverish.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Pain, Pruritus, Pyrexia, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Swelling has gone down considerably. Nor very sore today. Redness almost gone, hardly any fever at site. Itches slightly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site nodule, Injection site pain — Feeling: Good
    Free text: Just a little bit tender at injection site and a very faint knot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-12
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Self-medication — Feeling: Fair
    Free text: Day 8, injection site swelled up twice the size it was before. It was very red & feverish, the knot had come back, hurt & itched so bad,had to take Benedryl & put hydrocortesone cream on it. Over the week, redness spread double the size of my hand.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-16
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Muscle spasms in left shoulder and neck area. Arm still sire at injection site abd tgere's stilk a small knot. Redness & swelling has gone away considerably.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-16
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-04-20
    Dose 2 — Moderna
  15. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: All of the symptoms are about 2" below the injection site. Lymoh nodes in right armpit are swollen and hurt a lot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot, Lymph node pain, Lymphadenopathy, Musculoskeletal stiffness, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Swelling & fever in right arm covering 3/4 of arm all the way down below the elbow. Very tight feeling. Lymph nodes in right armpit are swollen & hurt.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pain in extremity, Peripheral swelling, Rash, Skin tightness, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: The rash and swelling has traveled down to the underside of my right arm to all around and below the elbow. Still very tight, hurts to bend the arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-27
    Survey response — day 7, dose 2
    MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: The swelling and tightness and fever in my arm from shoulder to below elbow feels like a very bad sunburn
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-04
    Survey response — day 14, dose 2
    MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chronic cough can't get rid of it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-11
    Survey response — day 21, dose 2
    MedDRA: Cough, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Constant chronic cough · Healthcare visit (other): Started taking prednisone pack I had previously prescribed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-11
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-05-18
    Survey response — day 28, dose 2
    MedDRA: Pneumonia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Had to go to urgent care about my constant cough. X-ray showed i have bilateral pneumonia in the lower lobes if my lungs. Was prescribed Azithromiacin.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-18
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-01

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-16 Unsuccessful
2021-05-11 Unsuccessful
2021-05-18 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Injection site is a little red and feels feverish

2021-03-25

Systemic reaction (other): Knot at injection site is still there. Also still red and a little feverish. Started itching today.

2021-03-26

Systemic reaction (other): Knot at injection site is still there. Not as swollen, still a little red, but not as feverish.

2021-03-27

Systemic reaction (other): Nit as sore today. Swelling continues to go down. Still a little red , not as feverish.

2021-03-28

Systemic reaction (other): Swelling has gone down considerably. Nor very sore today. Redness almost gone, hardly any fever at site. Itches slightly.

2021-03-29

Systemic reaction (other): Just a little bit tender at injection site and a very faint knot.

Release 7 — day 14, dose 1

2021-04-12

Symptoms: Day 8, injection site swelled up twice the size it was before. It was very red & feverish, the knot had come back, hurt & itched so bad,had to take Benedryl & put hydrocortesone cream on it. Over the week, redness spread double the size of my hand. cut off by CDC

Release 7 — day 21, dose 1

2021-04-16

Symptoms: Muscle spasms in left shoulder and neck area. Arm still sire at injection site abd tgere's stilk a small knot. Redness & swelling has gone away considerably.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): All of the symptoms are about 2" below the injection site. Lymoh nodes in right armpit are swollen and hurt a lot.

2021-04-25

Systemic reaction (other): Swelling & fever in right arm covering 3/4 of arm all the way down below the elbow. Very tight feeling. Lymph nodes in right armpit are swollen & hurt.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): The rash and swelling has traveled down to the underside of my right arm to all around and below the elbow. Still very tight, hurts to bend the arm.

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): The swelling and tightness and fever in my arm from shoulder to below elbow feels like a very bad sunburn

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Chronic cough can't get rid of it

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Constant chronic cough
Healthcare visit (other): Started taking prednisone pack I had previously prescribed.

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Had to go to urgent care about my constant cough. X-ray showed i have bilateral pneumonia in the lower lobes if my lungs. Was prescribed Azithromiacin.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site nodule ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDPneumonia ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity · · ✓
SROPeripheral swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSkin tightness · · ✓
SROSwelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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