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45J-14402-12070

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
324 / FL
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2021-01-20
    Dose 2 — Moderna
  3. 2021-01-23
    Registered in v-safe
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Impaired work ability, Injection site cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: For about 48 hours starting about 6.5 hours after the second vaccine i had severe fever, chills, headache, red, hit, hard swelling to inj site and was unable to work. Today, 8 feel i am recovering except i am concerned about cellulitis at the site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness
    Adult check-in
  6. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Gingival disorder, Gingival swelling, Hypophagia, Mouth swelling, Stomatitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains
    Free text: The whole inside of my mouth and gums are raw and swollen feeling, difficulty eating & drinking
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gingival pain, Oral pain — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches
    Free text: My mouth amd gims are still sore but improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Survey response — day 7, dose 2
    MedDRA: Oral pain — Feeling: Good · Site: Itching
    Free text: Still.some soreness in my mouth but improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): For about 48 hours starting about 6.5 hours after the second vaccine i had severe fever, chills, headache, red, hit, hard swelling to inj site and was unable to work. Today, 8 feel i am recovering except i am concerned about cellulitis at the site.

2021-01-25

Systemic reaction (other): The whole inside of my mouth and gums are raw and swollen feeling, difficulty eating & drinking

2021-01-26

Systemic reaction (other): My mouth amd gims are still sore but improving

Release 2 — day 7, dose 2

2021-01-27

Systemic reaction (other): Still.some soreness in my mouth but improving

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
SROChills ✓ ✓ ✓
SRODecreased appetite · · ✓
SROGingival disorder · · ✓
SROGingival pain ✓ ✓ ✓
SROGingival swelling ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypophagia · · ✓
SROImpaired work ability ✓ ✓ ✓
SROInjection site cellulitis ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMouth swelling ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROStomatitis · · ✓

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