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
-
2021-02-26
Dose 1 — Moderna
-
2021-03-26
Dose 2 — Moderna
-
2021-03-27
Registered in v-safe
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: 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 professionalFree 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 clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Oral pain — Feeling: Good · Headache, Fatigue or tirednessFree text: Sores in mouth really painful, dr gave me lidocane, it helps, waiting fir 3 day covid checkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Oral pain, Stomatitis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Mouth sores r painful but healingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Oral pain, Stomatitis — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Mouth dores still sensative but not killingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 7, dose 2MedDRA: Oral pain — Feeling: Good · Fatigue or tiredness, DiarrheaFree text: Mouth sores healing but 1 left that hurts like dickensMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: FairFree 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
- 2021-04-18
- 2021-06-28
-
2022-01-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
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
Systemic reaction (other): Sores in mouth really painful, dr gave me lidocane, it helps, waiting fir 3 day covid check
Systemic reaction (other): Mouth sores r painful but healing
Systemic reaction (other): Mouth dores still sensative but not killing
Release 6 — day 7, dose 2
Systemic reaction (other): Mouth sores healing but 1 left that hurts like dickens
Release 7 — day 14, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Odynophagia | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Speech disorder | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release