4FU-20140-10151

3 vaccinations 7 coded responses 41 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 284 / NC
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Swollen tongue, Tongue discomfort — Feeling: Good

Free text: Swollen tongue, feels like I have cuts on the tongue. I have not eaten anything different than the prior days. It included corn chips which may have caused some cuts? But does it does not explain the swelling. (I had the same corn chips on prior days and no cuts).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Office visit, Oral discomfort, Oral mucosal blistering, Oral mucosal eruption, Pain, Toothache — Feeling: Fair

Free text: I woke up one morning feeling as if someone hit me on my teeth. The pain persisted all day. I have a light residual pain. Per the dentist there wrong is nothing wrong with my teeth. He detected small blisters: rash or burns. I had no hot food.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 35, dose 2
MedDRA: Disturbance in attention, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nothing got worse and nothing got better. Im still having fatigue. It seems difficult to focus. It took me 2 days to organize a small upright freezer. Im tired of constantly being tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-06
Dose 3 — Moderna
2022-05-06
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tip of right Ring Finger swollen and painful

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-20
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-05-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-06-03
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-06-10
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-06-17
Survey response — day 42, dose 3
MedDRA: Rash, Reaction to previous exposure to any vaccine — Feeling: Poor

Free text: Rash on right side of face at nose and under the eye. Started yesterday. Since my PCM had told me after my prior shot side effects that I was at least not in a ventilator and dismissed my prior rash and lesions in the mouth, no point to see the PCM.

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — 3 months, dose 3
MedDRA: Office visit, Paraesthesia oral, Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash around my right eye and rash inside my left left ear at the same time, treated by PCM's PA with anti-viral. Since then, rash on my left inner eyebrow and on both of my cheeks. The tingling of my mouth persists since 1st shot. · Healthcare visit (other): Called PCM to be seen.

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-08
Call 1 — Left Voicemail
2022-11-06
Survey response — 6 months, dose 3
MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rashes in my face and ear

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-07
Call 2 — Left Voicemail
2022-11-07
Call 1 — Left Voicemail
2023-05-06
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2022-05-06	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Swollen tongue, feels like I have cuts on the tongue. I have not eaten anything different than the prior days. It included corn chips which may have caused some cuts? But does it does not explain the swelling. (I had the same corn chips on prior days and no cuts).

Release 8 — day 21, dose 2

2021-04-29

Symptoms: I woke up one morning feeling as if someone hit me on my teeth. The pain persisted all day. I have a light residual pain. Per the dentist there wrong is nothing wrong with my teeth. He detected small blisters: rash or burns. I had no hot food.

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Nothing got worse and nothing got better. Im still having fatigue. It seems difficult to focus. It took me 2 days to organize a small upright freezer. Im tired of constantly being tired.

Release 11 — days 1–6 daily, dose 3

2022-05-08

Systemic reaction (other): Tip of right Ring Finger swollen and painful

Release 12 — day 42, dose 3

2022-06-17

Symptoms: Rash on right side of face at nose and under the eye. Started yesterday. Since my PCM had told me after my prior shot side effects that I was at least not in a ventilator and dismissed my prior rash and lesions in the mouth, no point to see the PCM. cut off by CDC

Release 12 — 3 months, dose 3

2022-08-05

Symptoms: Rash around my right eye and rash inside my left left ear at the same time, treated by PCM's PA with anti-viral. Since then, rash on my left inner eyebrow and on both of my cheeks. The tingling of my mouth persists since 1st shot.

Healthcare visit (other): Called PCM to be seen.

Release 12 — 6 months, dose 3

2022-11-06

Symptoms: Rashes in my face and ear

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	Unevaluable event	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oral discomfort	✓	·	✓
SD	Oral mucosal blistering	✓	✓	✓
SD	Oral mucosal eruption	✓	·	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia oral	·	·	✓
SD	Rash	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Toothache	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Tongue discomfort	✓	✓	✓

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