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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

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-26
    Dose 2 — Moderna
  3. 2021-03-27
    Registered in v-safe
  4. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Skin felt like it was on fire
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms, Myalgia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Muscle cramping and soreness on the left leg
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Tongue swelling, looks like covid tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tongue disorder — Feeling: Good · Site: Pain · Diarrhea, Abdominal pain
    Free text: Still a weird splotchy tongue but not swollen anymore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Tongue disorder — Feeling: Good · Site: Redness · Fatigue or tiredness, Diarrhea
    Free text: I forgot to mention my lymph nodes hurt for the first 5 days also. Still have splotchy tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-04
    Survey response — day 7, dose 2
    MedDRA: Dehydration, Rash macular, Tongue discomfort — Feeling: Good · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Splotchy tongue, can't seem to drink enough water, dehydrated still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-09-24
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-11-16
    Dose 3 — Pfizer-BioNTech
  15. 2022-03-26
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free text: Severe cough, mucus, headaches, loss of appetite, ear infection sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-26
    Report sent to call center — 12 months, dose 2
    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)
  17. 2022-03-31
  18. 2022-04-13
    Dose 4 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna
32021-11-16Pfizer-BioNTech No
42022-04-13Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Skin felt like it was on fire

2021-03-28

Systemic reaction (other): Muscle cramping and soreness on the left leg

2021-03-29

Systemic reaction (other): Tongue swelling, looks like covid tongue

2021-03-30

Systemic reaction (other): Still a weird splotchy tongue but not swollen anymore

2021-04-01

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

2021-04-04

Systemic reaction (other): Splotchy tongue, can't seem to drink enough water, dehydrated still

Release 11 — 12 months, dose 2

2022-03-26

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDDecreased appetite · · ✓
SDEar infection · · ✓
SDHeadache · · ✓
SDSecretion discharge · · ✓
SDSinusitis · · ✓
SROCOVID-19 ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRORash macular ✓ ✓ ✓
SROSkin burning sensation ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓
SROTongue discolouration ✓ ✓ ✓
SROTongue discomfort ✓ ✓ ✓
SROTongue disorder ✓ ✓ ✓

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