2EM-11751-95086

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 194 / PA
Registered: 2021-02-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Pharyngeal erythema, Pharyngeal ulceration — Feeling: Good · Site: Pain

Free text: Sore throat due to ulcer in back of throat surrounded by a red area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Pharyngeal erythema, Pharyngeal ulceration — Feeling: Good

Free text: On day 2 I developed an ulcer with surrounding red area at back of throat. On day 14 it is still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 21, dose 2
MedDRA: Mouth ulceration, Oropharyngeal pain — Feeling: Good

Free text: More ulcers in mouth. Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 28, dose 2
MedDRA: Oropharyngeal pain, Ulcer — Feeling: Good

Free text: New white patches in throat. Painful. Some ulcers but one area looks like thrush. Being treated for thrush (diflucan). Started the day after second vax. Got worse after the first week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 35, dose 2
MedDRA: Mouth ulceration — Feeling: Good

Free text: More ulcers in mouth. One heals and another starts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 42, dose 2
MedDRA: Infected cyst, Lymph node pain, Oropharyngeal pain, Specialist consultation, Vulva cyst, Vulvovaginal pain, Vulvovaginal swelling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Infected vulval cyst. Extreme pain and large area of swelling. Lymph nodes in left thigh painful on exam. Treated with antibiotics. Sore throat again on lower left side. I have never had issues like this in the past. · Healthcare visit (other): GYN office visit-worked in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Fatigue, Lip ulceration, Mouth ulceration, Pain, Stomatitis, Viral infection — Feeling: Good · 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 visit

Free text: Repeated viral infections with ulcers in mouth and on lips. Started the day after my second vax. Continued for 3 months straight. Now occurs every few weeks. Symptoms include fatigue, aches, mouth sores.

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 12 months, dose 2
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 visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Sore throat due to ulcer in back of throat surrounded by a red area

Release 7 — day 14, dose 2

2021-04-09

Symptoms: On day 2 I developed an ulcer with surrounding red area at back of throat. On day 14 it is still there.

Release 7 — day 21, dose 2

2021-04-16

Symptoms: More ulcers in mouth. Sore throat

Release 7 — day 28, dose 2

2021-04-23

Symptoms: New white patches in throat. Painful. Some ulcers but one area looks like thrush. Being treated for thrush (diflucan). Started the day after second vax. Got worse after the first week.

Release 8 — day 35, dose 2

2021-04-30

Symptoms: More ulcers in mouth. One heals and another starts.

Release 8 — day 42, dose 2

2021-05-08

Symptoms: Infected vulval cyst. Extreme pain and large area of swelling. Lymph nodes in left thigh painful on exam. Treated with antibiotics. Sore throat again on lower left side. I have never had issues like this in the past.

Healthcare visit (other): GYN office visit-worked in

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Repeated viral infections with ulcers in mouth and on lips. Started the day after my second vax. Continued for 3 months straight. Now occurs every few weeks. Symptoms include fatigue, aches, mouth sores.

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	Specialist consultation	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Infected cyst	✓	✓	✓
SD	Lip ulceration	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Mouth ulceration	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pharyngeal erythema	✓	✓	✓
SD	Pharyngeal ulceration	✓	✓	✓
SD	Stomatitis	·	·	✓
SD	Ulcer	✓	✓	✓
SD	Viral infection	·	·	✓
SD	Vulva cyst	✓	✓	✓
SD	Vulvovaginal pain	✓	✓	✓
SD	Vulvovaginal swelling	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal erythema	✓	✓	✓
SRO	Pharyngeal ulceration	✓	✓	✓

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