Y6T-16262-73406

1 vaccination 9 coded responses 12 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 305 / GA
Registered: 2021-03-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Lip swelling — Feeling: Fair · Chills, Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Lips, swell .Tongue, nose and lips numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Glossodynia, Hypoaesthesia oral, Idiopathic pneumonia syndrome, Lip swelling, Swollen tongue, Tongue discomfort — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ips swollen tip of tongue nimb. Slight burning and soreness both sides of tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia oral, Lip swelling, Tongue discomfort — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lips still swollen and tip of tongue numb. Burning entire tongue sinus probs. f

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Hypoaesthesia oral, Office visit, Paraesthesia oral — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tongue still numb. Lips tingling. Went to Doctor for ER follow up · Healthcare visit (other): In patient primary physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia oral, Tongue discomfort — Feeling: Fair · Headache

Free text: Lips still tingling and tongue tip burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Glossodynia, Lip pain — Feeling: Fair · Headache, Muscle or body aches

Free text: Lips and tongue still sensitive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia oral — Feeling: Good

Free text: Slight numbness of lips and tip of tongue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 1
MedDRA: Glossodynia, Hypoaesthesia oral, Lip pain — Feeling: Good

Free text: Lip and tongue still sensitive, with numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-09-03
Survey response — 6 months, dose 1
MedDRA: Fatigue, Headache, Lip blister, Paraesthesia oral, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Allergy responses and sometimes still have tingling of lips and tongue. The blisters that came up on my lips after 1st shot can still be seen . As a possible scar.I did have an unexplained head pains in the temple and gelt badly. Tired

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call 1 — Left Voicemail
2022-03-08
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-05	Unsuccessful
2021-03-08	Unsuccessful
2021-09-03	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Lips, swell .Tongue, nose and lips numb

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Ips swollen tip of tongue nimb. Slight burning and soreness both sides of tongue

2021-03-07

Systemic reaction (other): Lips still swollen and tip of tongue numb. Burning entire tongue sinus probs. f

2021-03-08

Systemic reaction (other): Tongue still numb. Lips tingling. Went to Doctor for ER follow up

Healthcare visit (other): In patient primary physician

2021-03-09

Systemic reaction (other): Lips still tingling and tongue tip burning

2021-03-10

Systemic reaction (other): Lips and tongue still sensitive

2021-03-11

Systemic reaction (other): Slight numbness of lips and tip of tongue.

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Lip and tongue still sensitive, with numbness

Release 9 — 6 months, dose 1

2021-09-03

Symptoms: Allergy responses and sometimes still have tingling of lips and tongue. The blisters that came up on my lips after 1st shot can still be seen . As a possible scar.I did have an unexplained head pains in the temple and gelt badly. Tired

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	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Lip blister	✓	·	✓
SD	Paraesthesia oral	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Emergency care	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Idiopathic pneumonia syndrome	○	✓	○
SRO	Lip pain	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Swollen tongue	○	✓	○
SRO	Tongue discomfort	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release