ZPS-22374-20862
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 723 / AR
- Registered
- 2021-01-13
- Relationship
- Self
Timeline
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2021-01-12
Dose 1 — Moderna
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2021-01-13
Registered in v-safe
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fever · NoneAdult check-in
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
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2021-02-09
Dose 2 — Moderna
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2021-02-09
Survey response — day 0, dose 2MedDRA: Axillary pain, Dysgeusia — Feeling: GoodFree text: I have had a metal taste in my mouth. Actually had it with the first shot but I did not associate it with the vaccine until today. The taste was gone but now back. Also, I had some pain under my axillary area with the last shot, but did not associate it with the vaccine, but the pain is back today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Gingival swelling — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Metal taste in my mouth, it also feels like my gums are swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia, Office visit, Oral herpes — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have developed a fever blister today. I have never had one before. Also, I dont know that it is related, but I am having difficulty with my good. I can swallow ok, but having trouble with food going down through epigastric area. Noticed mild symptoms a couple of weeks, but much more today. · Healthcare visit (other): Office visit. Will get modified barium swallowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Fever blisterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-07-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-12 | Unsuccessful |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): I have had a metal taste in my mouth. Actually had it with the first shot but I did not associate it with the vaccine until today. The taste was gone but now back. Also, I had some pain under my axillary area with the last shot, but did not associate it with the vaccine, but the pain is back today.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Metal taste in my mouth, it also feels like my gums are swollen.
Systemic reaction (other): I have developed a fever blister today. I have never had one before. Also, I dont know that it is related, but I am having difficulty with my good. I can swallow ok, but having trouble with food going down through epigastric area. Noticed mild symptoms a couple of weeks, but much more today.
Healthcare visit (other): Office visit. Will get modified barium swallow
Systemic reaction (other): Fever blister
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 | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Gingival swelling | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release