3YH-11571-64100

4 vaccinations 9 coded responses 21 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 233 / VA
Registered: 2021-04-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-03
Dose 1 — Moderna
2021-04-13
Registered in v-safe
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Moderna
2021-05-01
Survey response — day 0, dose 2
MedDRA: Pharyngeal swelling, Tongue dry — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: Tongue became dehydrated and slight throat swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Hyperhidrosis, Paraesthesia oral, Tongue coated — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Tongue is still white and feels funny, chest pain is less than yesterday, very sweaty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Paraesthesia oral, Taste disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: my tingling from my tongue has now moved to reduction in taste. Also some random sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Tongue dry — Feeling: Fair · Nausea

Free text: Tongue is getting better but still very dry.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair

Free text: Still waiting on my tongue to eeturn to normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 7, dose 2
MedDRA: Hypertrophy of tongue papillae — Feeling: Good

Free text: Taste buds still slightly swollen at bsck of throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Asthenia, Blood iron decreased — Feeling: Fair

Free text: My energy level necer fully cane back to normal. My iron lwvwla dropped lower than they were and had an oron infusion

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Dose 3 — Moderna
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Headache, Immunisation reaction, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: After my booster i had covid arm and sever headaches · Healthcare visit (other): Scheduled an appt with my doctoe. They had to cancwl due their vacation

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-02
Call 1 — Could Not Reach Participant
2022-05-05
Call 2 — Could Not Reach Participant
2022-09-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-28
Dose 4 — Moderna
2023-03-10
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2023-06-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Moderna
2	2021-05-01	Moderna
3	2022-03-10	Moderna	No
4	2022-12-28	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-01

Systemic reaction (other): Tongue became dehydrated and slight throat swelling

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Chest pain

2021-05-03

Systemic reaction (other): Tongue is still white and feels funny, chest pain is less than yesterday, very sweaty

2021-05-05

Systemic reaction (other): my tingling from my tongue has now moved to reduction in taste. Also some random sweating

2021-05-06

Systemic reaction (other): Tongue is getting better but still very dry.

2021-05-07

Systemic reaction (other): Still waiting on my tongue to eeturn to normal

Release 8 — day 7, dose 2

2021-05-10

Systemic reaction (other): Taste buds still slightly swollen at bsck of throat

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: My energy level necer fully cane back to normal. My iron lwvwla dropped lower than they were and had an oron infusion

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: After my booster i had covid arm and sever headaches

Healthcare visit (other): Scheduled an appt with my doctoe. They had to cancwl due their vacation

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	Unevaluable event	·	·	✓
SD	Asthenia	·	·	✓
SD	Blood iron decreased	·	·	✓
SD	Headache	·	·	✓
SD	Immunisation reaction	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypertrophy of tongue papillae	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Taste disorder	✓	✓	✓
SRO	Tongue coated	✓	✓	✓
SRO	Tongue dry	✓	✓	✓

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