YHM-21558-25385

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 435 / OH
Registered: 2021-01-16

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

2021-01-15
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Burn oesophageal, Dyspepsia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Stomach & esophageal burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Dyspepsia, Oesophageal pain, Tinnitus, Tongue dry — Feeling: Fair · Site: Pain · Nausea, Abdominal pain

Free text: Stomach & esophagus burning have had ear pressure and ringing/buzzing in the ear since the shot. Also dry tongue and strange taste since shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia, Oesophageal discomfort — Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Stomach and esophagus burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Immediate post-injection reaction, Tinnitus — Feeling: Fair · Nausea, Abdominal pain

Free text: Had buzzing/ringing in the ear and ear pressure since shortly after the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Fair · Nausea, Abdominal pain

Free text: Buzzing/ringing in the ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Saliva altered — Feeling: Good · Site: Pain · Abdominal pain

Free text: Strange taste/strange saliva in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Dysgeusia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Abdominal pain

Free text: Strange taste in mouth and dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Good · Site: Itching · Abdominal pain

Free text: Strange taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Itching · Nausea, Abdominal pain

Free text: Bad taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Dysgeusia, Nausea, Rash, Rash pruritic — Feeling: Fair

Free text: Itchy rash on arm and chestNausea and stomach pain still with odd taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Dysgeusia, Nausea, Saliva altered — Feeling: Fair

Free text: Nausea, stomach pain, still have strange taste/strange saliva

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Dysgeusia, Hypertension — Feeling: Good

Free text: Odd taste in mouth that came on after first vaccineHigh Blood Pressure is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Heart rate increased, Hypertension, Palpitations — Feeling: Good

Free text: Heart beating rapid and different palpitations then Ive had before. Blood pressure running higher

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Cardiac flutter, Heart rate increased, Palpitations — Feeling: Good

Free text: Heart palpitations, fluttering sometimes beating fast

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-01-18	priority 2/3

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Stomach & esophageal burning

2021-01-17

Systemic reaction (other): Stomach & esophagus burning have had ear pressure and ringing/buzzing in the ear since the shot. Also dry tongue and strange taste since shot

2021-01-18

Systemic reaction (other): Stomach and esophagus burning

2021-01-21

Systemic reaction (other): Had buzzing/ringing in the ear and ear pressure since shortly after the injection

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Buzzing/ringing in the ear

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Strange taste/strange saliva in mouth

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Dry mouth

2021-02-15

Systemic reaction (other): Strange taste in mouth and dry mouth

2021-02-16

Systemic reaction (other): Strange taste in mouth

2021-02-18

Systemic reaction (other): Bad taste in mouth

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Itchy rash on arm and chestNausea and stomach pain still with odd taste in mouth

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Nausea, stomach pain, still have strange taste/strange saliva

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Odd taste in mouth that came on after first vaccineHigh Blood Pressure is worse

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Heart beating rapid and different palpitations then Ive had before. Blood pressure running higher

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Heart palpitations, fluttering sometimes beating fast

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	Abdominal pain upper	✓	✓	✓
SD	Cardiac flutter	✓	·	✓
SD	Dysgeusia	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Saliva altered	✓	✓	✓
SRO	Burn oesophageal	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oesophageal discomfort	✓	✓	✓
SRO	Oesophageal pain	✓	✓	✓
SRO	Saliva altered	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Tongue dry	✓	✓	✓

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