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4AG-81126-98224

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
281 / NC
Registered
2021-03-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-26
    Dose 2 — Moderna
  3. 2021-03-27
    Registered in v-safe
  4. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to work
    Adult check-in
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Odynophagia, Office visit, Oral pain, Pain, Speech disorder, Stomatitis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Sores on my mouth, top of mouth, sides, in back near tongue, really painful sores. Hurt to talk eat or swallow · Healthcare visit (other): Minute clinic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-29
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral pain — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Sores in mouth really painful, dr gave me lidocane, it helps, waiting fir 3 day covid check
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral pain, Stomatitis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Mouth sores r painful but healing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral pain, Stomatitis — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Mouth dores still sensative but not killing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-02
    Survey response — day 7, dose 2
    MedDRA: Oral pain — Feeling: Good · Fatigue or tiredness, Diarrhea
    Free text: Mouth sores healing but 1 left that hurts like dickens
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-10
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: I am totally exhausted. I feel like it is covid shot 2 hangover.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-01-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Sores on my mouth, top of mouth, sides, in back near tongue, really painful sores. Hurt to talk eat or swallow
Healthcare visit (other): Minute clinic

2021-03-30

Systemic reaction (other): Sores in mouth really painful, dr gave me lidocane, it helps, waiting fir 3 day covid check

2021-03-31

Systemic reaction (other): Mouth sores r painful but healing

2021-04-01

Systemic reaction (other): Mouth dores still sensative but not killing

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Mouth sores healing but 1 left that hurts like dickens

Release 7 — day 14, dose 2

2021-04-10

Symptoms: I am totally exhausted. I feel like it is covid shot 2 hangover.

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
HCVOOffice visit ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SROOdynophagia ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSpeech disorder ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓

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