5R6-15894-06859
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
-
2021-02-24
Survey response — day 0, dose 1MedDRA: Dizziness, Immediate post-injection reaction, Tinnitus — Feeling: Fair · Chills, HeadacheFree text: Was very dizzy immediately after I got the shot. Also had ears ringing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
- 2021-03-25
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Mouth ulceration — Feeling: GoodFree text: Mouth ulcers which happen when I got first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Mouth ulceration — Feeling: GoodFree text: Like as before, suddenly developing mouth ulcers about 5 days out from shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
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2021-04-14
Survey response — day 21, dose 2MedDRA: Glossodynia, Immediate post-injection reaction, Mouth ulceration, Reaction to previous exposure to any vaccine, Tongue discomfort — Feeling: FairFree text: The minute I got 2nd shot, developed mouth ulcers and my tongue felt like a razor had cut it. Went away and then came back. Happened with 1st shot as well - ModernaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: My mouth is still a mess and this started about 12 hours after 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
- 2022-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Was very dizzy immediately after I got the shot. Also had ears ringing.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Mouth ulcers which happen when I got first shot
Systemic reaction (other): Like as before, suddenly developing mouth ulcers about 5 days out from shot.
Release 7 — day 21, dose 2
Symptoms: The minute I got 2nd shot, developed mouth ulcers and my tongue felt like a razor had cut it. Went away and then came back. Happened with 1st shot as well - Moderna
Release 7 — day 28, dose 2
Symptoms: My mouth is still a mess and this started about 12 hours after 2nd shot.
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 | Glossodynia | · | · | ✓ |
| SD | Immediate post-injection reaction | · | · | ✓ |
| SD | Mouth ulceration | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Tongue discomfort | ✓ | ✓ | ○ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Mouth ulceration | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release