36P-31242-33844

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 018 / MA
Registered: 2021-02-08

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

2021-01-07
Dose 1 — Moderna
2021-02-04
Dose 2 — Moderna
2021-02-08
Registered in v-safe
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer, Lip blister, Palpitations, SARS-CoV-2 test — Feeling: Poor · Site: Pain · Headache, Nausea, Diarrhea · Be unable to work, 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: Systemic reaction (other): Heart palpitations, mouth cankers, blisters on bottom lip · Healthcare visit (other): Covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lip blister, Office visit, Oropharyngeal blistering, Palpitations, Stomatitis, Tongue discomfort — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Heart palpitations, mouth, throat blisters, 5 blisters inner bottom lip, tongue feels burnt · Healthcare visit (other): Waiting for Covid testing results

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Blister, Palpitations, SARS-CoV-2 test negative, Tongue discomfort — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Heart palpitations, mouth, throat ,inner lip blister, tongue feels burnt s · Healthcare visit (other): Negative Coviid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 7, dose 2
MedDRA: Oral mucosal blistering, Palpitations, Pulmonary pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, 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: Palpitations, Mouth throat bottom lip blisters, lung pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Oral mucosal blistering, Oropharyngeal blistering, Palpitations, Tongue blistering — Feeling: Poor · Be unable to work, 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, Emergency room or emergency department visit

Free text: Heart palpitations, difficulty breathing, throat mouth tongue blisters

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-03-18
Survey response — day 42, dose 2
MedDRA: Oral mucosal blistering, Palpitations — Feeling: Poor · Be unable to work, 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, Emergency room or emergency department visit

Free text: Blister in mouth, palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

6 call center cases

6 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Heart palpitations, mouth cankers, blisters on bottom lip

Healthcare visit (other): Covid test

2021-02-09

Systemic reaction (other): Heart palpitations, mouth, throat blisters, 5 blisters inner bottom lip, tongue feels burnt

Healthcare visit (other): Waiting for Covid testing results

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Heart palpitations, mouth, throat ,inner lip blister, tongue feels burnt s

Healthcare visit (other): Negative Coviid test

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Palpitations, Mouth throat bottom lip blisters, lung pain

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Heart palpitations, difficulty breathing, throat mouth tongue blisters

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Blister in mouth, palpitations

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	Office visit	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Oral mucosal blistering	✓	✓	✓
SD	Oropharyngeal blistering	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Tongue blistering	✓	✓	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Blister	✓	✓	✓
SRO	Lip blister	✓	✓	✓
SRO	Oral mucosal blistering	✓	✓	✓
SRO	Oropharyngeal blistering	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Tongue discomfort	✓	✓	✓

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