BJ3-14899-02783
1 vaccination
6 coded responses
12 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 626 / IL
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3GR-93635-09998
Child or adolescent in my care · Male · 2021-09-15
Timeline
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2021-01-06
Dose 1 — Moderna
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2021-01-07
Registered in v-safe
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Heart rate irregular, Lymphadenopathy, Tongue discomfort — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, DiarrheaFree text: Metallic taste in my mouth, feels like my tongue is burnt, swollen lymph nodes in my neck, irregular heartbeatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Influenza — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I feel like I have the flu today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-09
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2021-01-13
Survey response — day 7, dose 1MedDRA: Erythema, Pyrexia — Feeling: Good · FeverFree text: Late afternoon the past couple days my face gets super red for a couple hours and I feel feverish, but no fever and no chills for the last several days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — day 14, dose 1MedDRA: Dry mouth, Glossitis, Tongue dry — Feeling: GoodFree text: After receiving my vaccine it felt like the skin had burned off my tongue. My tongue still feels incredibly dry and raw like the skin was stripped away. I have had a horrible dry mouth since vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
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2021-02-03
Survey response — day 28, dose 1MedDRA: Immunisation reaction, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I believe I have COVID tongue post vaccination. I saw my dentist and now going to see my PCP.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-12
Survey response — day 35, dose 1MedDRA: Tongue discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I was diagnosed with COVID tongue/Geographic tongue/Burning Tongue Syndrome since my first vaccine. I was advised by my PCP & ENT to not get the second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
- 2021-04-07
- 2021-05-30
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2021-06-29
Call successfulCompleted over the phone
- 2021-07-07
- 2022-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna |
Call center
3 call center cases
2 successful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Metallic taste in my mouth, feels like my tongue is burnt, swollen lymph nodes in my neck, irregular heartbeat
Systemic reaction (other): I feel like I have the flu today.
Release 1 — day 7, dose 1
Systemic reaction (other): Late afternoon the past couple days my face gets super red for a couple hours and I feel feverish, but no fever and no chills for the last several days.
Release 2 — day 14, dose 1
Symptoms: After receiving my vaccine it felt like the skin had burned off my tongue. My tongue still feels incredibly dry and raw like the skin was stripped away. I have had a horrible dry mouth since vaccination.
Release 3 — day 28, dose 1
Symptoms: I believe I have COVID tongue post vaccination. I saw my dentist and now going to see my PCP.
Release 4 — day 35, dose 1
Symptoms: I was diagnosed with COVID tongue/Geographic tongue/Burning Tongue Syndrome since my first vaccine. I was advised by my PCP & ENT to not get the second vaccine.
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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Glossitis | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Tongue discomfort | ✓ | ✓ | ✓ |
| SD | Tongue dry | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Influenza | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ○ | ○ | ○ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release