5FP-24696-15049
1 vaccination
6 coded responses
6 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 305 / GA
- Registered
- 2021-08-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-27
Dose 1 — Moderna
-
2021-08-28
Registered in v-safe
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2021-08-28
Survey response — days 1–6 daily, dose 1MedDRA: Oral discomfort, Paraesthesia, Swelling face — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lips burn, my area around my lips are swollen, cheeks slightly swollen, tingly left side of faceMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Hypoaesthesia oral, Pain in extremity, Renal pain, Swelling face — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Facial swelling, numbness on left side of face and above lip. Burning around left kidney, soreness around outer thighs .MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-30
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: FairFree text: Tingling and numbness on left side of mouth , numbness on left side of lipsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral, Paraesthesia — Feeling: Fair · Site: Swelling · Fatigue or tirednessFree text: Numb and tingling around the mouth and lower left side of cheekMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-01
Survey response — days 1–6 daily, dose 1MedDRA: Adverse food reaction, Hypoaesthesia, Hypoaesthesia oral, Office visit, Oral discomfort — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Numbness around lips/ lower left cheek- lips burn if spicy foods touch them · Healthcare visit (other): In person visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-01
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-02
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Joint painsFree text: Tingling in lower left cheek and lipMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-06
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2021-11-01
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Lips burn, my area around my lips are swollen, cheeks slightly swollen, tingly left side of face
Systemic reaction (other): Facial swelling, numbness on left side of face and above lip. Burning around left kidney, soreness around outer thighs .
Systemic reaction (other): Tingling and numbness on left side of mouth , numbness on left side of lips
Systemic reaction (other): Numb and tingling around the mouth and lower left side of cheek
Systemic reaction (other): Numbness around lips/ lower left cheek- lips burn if spicy foods touch them
Healthcare visit (other): In person visit
Systemic reaction (other): Tingling in lower left cheek and lip
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 | ✓ | · | ✓ |
| SRO | Adverse food reaction | ✓ | · | ✓ |
| SRO | Hypoaesthesia | ✓ | · | ✓ |
| SRO | Hypoaesthesia oral | ✓ | · | ✓ |
| SRO | Oral discomfort | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Paraesthesia | ✓ | · | ✓ |
| SRO | Paraesthesia oral | ✓ | · | ✓ |
| SRO | Renal pain | ✓ | · | ✓ |
| SRO | Swelling face | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release