46C-27741-52539

2 vaccinations 8 coded responses 12 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 027 / MA
Registered: 2021-04-06

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

2021-03-05
Dose 1 — Moderna
2021-04-02
Dose 2 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Stomatitis — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Mouth sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dysphagia, Lymphadenopathy, Oral pain — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Sores in mouth. Went to doctor today.Cant swallow because of swollen lymph nodes · Healthcare visit (other): Cant swallow or eat. Sores in mouth and swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oral candidiasis, Stomatitis — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mouth sores and today thrush

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

1 call case(s)
2021-04-09
Survey response — day 7, dose 2
MedDRA: Candida infection, Stomatitis — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mouth sores and thrush

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Ageusia, Dry mouth, Ear pain, Tongue coated, Toothache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Eat ache/ tooth ache on same side.Also mouth continues to be dry, loss of taste and light white coating on tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Pain, Pain in jaw, Toothache — Feeling: Good

Free text: Pain in left jaw area ..thought it was a toothache but it went away. This is same area I experienced pain days after second vaccine. I was going to call Dr or dentist but it went away after gargling with warm water and salt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Ear pain, Facial pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Pain on right side of face/ear. Same pain and area that I experienced 3 days after vaccine. · Healthcare visit (other): And dentist

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2022-04-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Mouth sores

2021-04-07

Systemic reaction (other): Sores in mouth. Went to doctor today.Cant swallow because of swollen lymph nodes

Healthcare visit (other): Cant swallow or eat. Sores in mouth and swollen lymph nodes

2021-04-08

Systemic reaction (other): Mouth sores and today thrush

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Mouth sores and thrush

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Eat ache/ tooth ache on same side.Also mouth continues to be dry, loss of taste and light white coating on tongue

Release 8 — day 35, dose 2

2021-05-07

Symptoms: Sore throat

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Pain in left jaw area ..thought it was a toothache but it went away. This is same area I experienced pain days after second vaccine. I was going to call Dr or dentist but it went away after gargling with warm water and salt

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Pain on right side of face/ear. Same pain and area that I experienced 3 days after vaccine.

Healthcare visit (other): And dentist

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	Decreased appetite	✓	✓	✓
HCVO	Dysphagia	✓	✓	✓
HCVO	Lymphadenopathy	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Oral pain	✓	✓	✓
SD	Ageusia	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Facial pain	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Tongue coated	✓	✓	✓
SD	Toothache	✓	✓	✓
SRO	Candida infection	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oral candidiasis	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Stomatitis	✓	✓	✓

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