4MT-11728-77118
1 vaccination
4 coded responses
4 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Facial pain — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: Facial pain only on right sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: FairFree text: Sensation by mouth on right side onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Weird sensation by mouth, right side only. Feels like I need saliva.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Oral discomfort — Feeling: Poor · HeadacheFree text: Strange sensation by mouth, right side only. At times I feel like I have no saliva.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-06 | Unsuccessful | |
| 2021-03-08 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Facial pain only on right side
Systemic reaction (other): Sensation by mouth on right side only
Systemic reaction (other): Weird sensation by mouth, right side only. Feels like I need saliva.
Systemic reaction (other): Strange sensation by mouth, right side only. At times I feel like I have no saliva.
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 | Facial pain | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release