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
-
2020-12-23
Dose 1 — Moderna
-
2021-01-20
Dose 2 — Moderna
-
2021-01-23
Registered in v-safe
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2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tirednessAdult check-in
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Gingival disorder, Gingival swelling, Hypophagia, Mouth swelling, Stomatitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint painsFree text: The whole inside of my mouth and gums are raw and swollen feeling, difficulty eating & drinkingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Gingival pain, Oral pain — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body achesFree text: My mouth amd gims are still sore but improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 7, dose 2MedDRA: Oral pain — Feeling: Good · Site: ItchingFree text: Still.some soreness in my mouth but improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-27
- 2021-03-03
- 2021-04-23
- 2021-07-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 2
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.
Systemic reaction (other): The whole inside of my mouth and gums are raw and swollen feeling, difficulty eating & drinking
Systemic reaction (other): My mouth amd gims are still sore but improving
Release 2 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Gingival disorder | · | · | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
| SRO | Gingival swelling | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypophagia | · | · | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Injection site cellulitis | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Mouth swelling | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Stomatitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release