2X9-54674-29755
4 vaccinations
7 coded responses
11 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 880 / NM
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-26
Dose 2 — Moderna
-
2021-03-27
Registered in v-safe
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Skin burning sensation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Skin felt like it was on fireMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Myalgia — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Muscle cramping and soreness on the left legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: COVID-19, Swollen tongue, Tongue discolouration — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Tongue swelling, looks like covid tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Tongue disorder — Feeling: Good · Site: Pain · Diarrhea, Abdominal painFree text: Still a weird splotchy tongue but not swollen anymoreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Headache, Fatigue or tirednessAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Tongue disorder — Feeling: Good · Site: Redness · Fatigue or tiredness, DiarrheaFree text: I forgot to mention my lymph nodes hurt for the first 5 days also. Still have splotchy tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — day 7, dose 2MedDRA: Dehydration, Rash macular, Tongue discomfort — Feeling: Good · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: Splotchy tongue, can't seem to drink enough water, dehydrated stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-09-24
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2021-11-16
Dose 3 — Pfizer-BioNTech
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2022-03-26
Survey response — 12 months, dose 2MedDRA: Cough, Decreased appetite, Ear infection, Headache, Secretion discharge, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Severe cough, mucus, headaches, loss of appetite, ear infection sinus infectionMedDRA releases: 2024-11 · check-in free text available
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2022-03-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-31
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2022-04-13
Dose 4 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
| 4 | 2022-04-13 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Skin felt like it was on fire
Systemic reaction (other): Muscle cramping and soreness on the left leg
Systemic reaction (other): Tongue swelling, looks like covid tongue
Systemic reaction (other): Still a weird splotchy tongue but not swollen anymore
Systemic reaction (other): I forgot to mention my lymph nodes hurt for the first 5 days also. Still have splotchy tongue
Release 6 — day 7, dose 2
Systemic reaction (other): Splotchy tongue, can't seem to drink enough water, dehydrated still
Release 11 — 12 months, dose 2
Symptoms: Severe cough, mucus, headaches, loss of appetite, ear infection sinus infection
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 | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Tongue discolouration | ✓ | ✓ | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
| SRO | Tongue disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release