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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

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · None
    Adult check-in
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness, Diarrhea
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-09
    Dose 2 — Moderna
  11. 2021-02-09
    Survey response — day 0, dose 2
    MedDRA: Axillary pain, Dysgeusia — Feeling: Good
    Free 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
  12. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  13. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia, Gingival swelling — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free 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
  14. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspepsia, Office visit, Oral herpes — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional
    Free 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 swallow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-12
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral herpes — Feeling: Good
    Free text: Fever blister
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-30

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-12 Unsuccessful

Free text

Release 3 — day 0, dose 2

2021-02-09

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

2021-02-11

Systemic reaction (other): Metal taste in my mouth, it also feels like my gums are swollen.

2021-02-12

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

2021-02-13

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROGingival swelling ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓

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