73V-11012-11191
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
- 191 / PA
- Registered
- 2021-02-16
- Relationship
- Self
Timeline
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2021-02-16
Registered in v-safe
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2021-02-16
Dose 1 — Moderna
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2021-02-16
Survey response — day 0, dose 1MedDRA: Tongue disorder — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Geographic tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Tongue geographic — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Geographic tongue/Covid tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Immunisation reaction, Tongue geographic — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Geographic tongue/covid tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Tongue geographic — Feeling: GoodFree text: Geographic tongue/Covid tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-16 | priority 2/3 | |
| 2021-02-17 | priority 2/3 |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Geographic tongue
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Geographic tongue/Covid tongue
Systemic reaction (other): Geographic tongue/covid tongue
Systemic reaction (other): Geographic tongue/Covid tongue
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 | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Tongue disorder | ✓ | ✓ | ✓ |
| SRO | Tongue geographic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release