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29E-21399-96754

1 vaccination 2 coded responses 2 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
030 / NH
Registered
2021-02-05
Relationship
Self

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-05
    Registered in v-safe
  3. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Acne, Hypoaesthesia oral, Lip swelling, Oral pain, Swelling — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: I felt a numbing pain near my mouth that comes and goes. Almost like I just had dental work and the novocaine is just wearing off. Doesnt feel numb to the touch. This came on about 30 minutes after the shot. I also felt my lips swell for a few seconds. They dont look or feel swollen. Both sites did have something there that may have contributed to the sensation. I had a pimple near my mouth and I had bit my lip the day before I got the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Facial pain, Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I still have some weird pain sensation near my mouth. Maybe it might be from wearing a new face mask thats a bit tighter than normal. My lips dont feel weird today. My arm feels swollen to the touch where the shot was given. The part of my arm right below the bicep is sore too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): I felt a numbing pain near my mouth that comes and goes. Almost like I just had dental work and the novocaine is just wearing off. Doesnt feel numb to the touch. This came on about 30 minutes after the shot. I also felt my lips swell for a few seconds. They dont look or feel swollen. Both sites did have something there that may have contributed to the sensation. I had a pimple near my mouth and I had bit my lip the day before I got the vaccine.

2021-02-06

Systemic reaction (other): I still have some weird pain sensation near my mouth. Maybe it might be from wearing a new face mask thats a bit tighter than normal. My lips dont feel weird today. My arm feels swollen to the touch where the shot was given. The part of my arm right below the bicep is sore too.

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
SROAcne ✓ ✓ ✓
SROFacial pain ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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