637-10018-00760
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 177 / PA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Food allergy, Oral pain, Palatal swelling — Feeling: GoodFree text: Yesterday I ate just a handful of mixed nuts. I have never had a nut allergy but after only a handful the roof of my mouth swelled and felt hot. After a little while the swelling went down but today the roof of my mouth is very sore. Could this be related to a positive Covid test in mid January or the vaccine? Im very concerned about having the second shot after being sick and now this episode. I would like someone to call me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: GoodFree text: I still have a sore roof of my mouth as previously reported.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: GoodFree text: The roof of my mouth is still sore but a little less today as reported earlier.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-03-05
- 2021-08-13
-
2022-02-12
Survey response — 12 months, dose 1MedDRA: Condition aggravated, Musculoskeletal stiffness, Myalgia, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Aching all over my body and still my taste is off after 13 months. It got worse after my booster. · Healthcare visit (other): Neck stiffness and muscle painMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-16
-
2022-03-08
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday I ate just a handful of mixed nuts. I have never had a nut allergy but after only a handful the roof of my mouth swelled and felt hot. After a little while the swelling went down but today the roof of my mouth is very sore. Could this be related to a positive Covid test in mid January or the vaccine? Im very concerned about having the second shot after being sick and now this episode. I would like someone to call me.
Systemic reaction (other): I still have a sore roof of my mouth as previously reported.
Systemic reaction (other): The roof of my mouth is still sore but a little less today as reported earlier.
Release 11 — 12 months, dose 1
Symptoms: Aching all over my body and still my taste is off after 13 months. It got worse after my booster.
Healthcare visit (other): Neck stiffness and muscle pain
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 | Musculoskeletal stiffness | · | · | ✓ |
| HCVO | Myalgia | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Food allergy | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Palatal swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release