53L-14992-98963

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 197 / DE
Registered: 2021-02-10

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-04
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Swollen tongue — Feeling: Good · Site: Pain · Chills

Free text: Had a swollen red tongue a couple of hours after the shot but eventually went away later that evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 1
MedDRA: Swollen tongue — Feeling: Good

Free text: Just the swollen tongue the evening of the shot. I want to know if its okay to take the second shot since I had a swollen tongue after the first one

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Back pain, Fungal infection, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Developed yeast and UTI infections. Stomach and lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Survey response — day 0, dose 2
MedDRA: Chest pain, Swollen tongue, Throat irritation, Tongue discomfort — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Burning and swelling of tongue and burning of throat and upper chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Eye pain, Fatigue, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat and chest tightness and tired aching eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A slight sore throat and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Got short of breath and dizziness when bending over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue, Heart rate increased, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Four days after my shot I started to have irregular heart beats all day long and continued thru Monday late afternoon. The heart beats escalated whenever I started moving around. Am still tired and at times feel weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

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

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Had a swollen red tongue a couple of hours after the shot but eventually went away later that evening.

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Just the swollen tongue the evening of the shot. I want to know if its okay to take the second shot since I had a swollen tongue after the first one

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Developed yeast and UTI infections. Stomach and lower back pain

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): Burning and swelling of tongue and burning of throat and upper chest

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Sore throat and chest tightness and tired aching eyes

2021-03-07

Systemic reaction (other): A slight sore throat and cough

2021-03-09

Systemic reaction (other): Got short of breath and dizziness when bending over

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Four days after my shot I started to have irregular heart beats all day long and continued thru Monday late afternoon. The heart beats escalated whenever I started moving around. Am still tired and at times feel weak.

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
SD	Abdominal pain upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fungal infection	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tongue discomfort	✓	✓	✓

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