ZE2-13948-55963
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 657 / MO
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes, Tongue ulceration — Feeling: FairFree text: Fever blister started 5 days ago but didn't report it. Not sure if it is related to the shot. Yesterday January 10 my tongue started to break out and get sores. This is typical for me when I have a virus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: FairFree text: Fever blister moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — day 7, dose 1MedDRA: Tongue eruption — Feeling: FairFree text: Tongue broke out similar to when I haves virusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — day 14, dose 1MedDRA: Dizziness — Feeling: FairFree text: Light headed. Feel like my blood pressure is droppingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 21, dose 1MedDRA: Dizziness, Stomatitis — Feeling: FairFree text: Light headed. Mouth has sore which usually occurs when I have virus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Dose 2 — Moderna
- 2021-02-13
- 2021-02-20
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
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2022-02-04
Survey response — 12 months, dose 2MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Sore throat, runny nose, cough, tiredMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Fever blister started 5 days ago but didn't report it. Not sure if it is related to the shot. Yesterday January 10 my tongue started to break out and get sores. This is typical for me when I have a virus.
Systemic reaction (other): Fever blister moderate
Release 1 — day 7, dose 1
Systemic reaction (other): Tongue broke out similar to when I haves virus
Release 2 — day 14, dose 1
Symptoms: Light headed. Feel like my blood pressure is dropping
Release 2 — day 21, dose 1
Symptoms: Light headed. Mouth has sore which usually occurs when I have virus.
Release 11 — 12 months, dose 2
Symptoms: Sore throat, runny nose, cough, 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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Tongue eruption | ✓ | ✓ | ✓ |
| SRO | Tongue ulceration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release