Z9H-45935-88641
2 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 992 / WA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — day 7, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Some tenderness in armpit of same arm as injection for past 3 mornings..goes away during the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
-
2021-04-14
Survey response — day 0, dose 2MedDRA: Dysgeusia, Dysphagia, Emergency care, Immediate post-injection reaction, Mouth swelling, Oral pruritus, Palpitations — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Immediately after injection I had sublingual itchiness and swelling, difficulty swallowing and racing heartbeat..paramedics monitored symptoms. Now (6 hrs post injection), I have sublingual itchiness and slight swelling, and a metallic taste in my mouth · Healthcare visit (other): Paramedics responded and monitored symptoms, most symptoms decreased within 30 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — day 0, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
- 2022-03-25
- 2022-03-28
-
2022-03-28
Callback requested for11:30AM ET
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Unsuccessful |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Some tenderness in armpit of same arm as injection for past 3 mornings..goes away during the day
Release 7 — day 0, dose 2
Systemic reaction (other): Immediately after injection I had sublingual itchiness and swelling, difficulty swallowing and racing heartbeat..paramedics monitored symptoms. Now (6 hrs post injection), I have sublingual itchiness and slight swelling, and a metallic taste in my mouth
Healthcare visit (other): Paramedics responded and monitored symptoms, most symptoms decreased within 30 minutes
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 |
|---|---|---|---|---|
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Mouth swelling | ✓ | ✓ | ✓ |
| SRO | Oral pruritus | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release