ZWH-51522-28132
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 957 / CA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Blister, Oral pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Possibly related on 2/7/2021 (8th day after first vaccine shot), I developed an extremely painful lump of the roof of my mouth. Went to dentist something they had never seen. Weird blister type leision on left shoulder. Going to specials 2/17/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Headache, I dont know if its related to my 2nd vaccine 2 weeks later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Mass — Feeling: GoodFree text: I have a lump of the roof of my mouth that start two weeks after my first vaccine. It is still there and I dont know if it is a reaction to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-09
- 2021-08-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Possibly related on 2/7/2021 (8th day after first vaccine shot), I developed an extremely painful lump of the roof of my mouth. Went to dentist something they had never seen. Weird blister type leision on left shoulder. Going to specials 2/17/2021
Release 5 — day 14, dose 2
Symptoms: Headache, I dont know if its related to my 2nd vaccine 2 weeks later.
Release 8 — 3 months, dose 2
Symptoms: I have a lump of the roof of my mouth that start two weeks after my first vaccine. It is still there and I dont know if it is a reaction to the vaccine.
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 | Blister | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release