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2EZ-28497-89393

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
641 / MO
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Registered in v-safe
  2. 2021-04-02
    Dose 1 — Moderna
  3. 2021-04-02
    Survey response — day 0, dose 1
    MedDRA: Taste disorder — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: food tastes off, less taste sensation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral herpes — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Cold sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral herpes, Pre-existing disease — Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Cold sores. I have recurrent herpes-associated erythema multiforme, which is also triggered by viral infections and antibiotics. The vaccine has triggered an outbreak. I treat it with 400 mg acyclovir 2x a day until resolved..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-09
    Survey response — day 7, dose 1
    MedDRA: Oral herpes — Feeling: Good
    Free text: Cold sores" starting to get better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-30
    Dose 2 — Moderna
  14. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Lymph node pain under arms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-11
    Survey response — day 42, dose 2
    MedDRA: Herpes virus infection, Pyrexia, Rash — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I have recurrent Herpes Associated Erythema Multiforme, and I had a severe rash develop a few days ago. I also have a fever of about 100° F.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-08-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-30
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Moderna
22021-04-30Moderna

Free text

Release 6 — day 0, dose 1

2021-04-02

Systemic reaction (other): food tastes off, less taste sensation

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Cold sore

2021-04-08

Systemic reaction (other): Cold sores. I have recurrent herpes-associated erythema multiforme, which is also triggered by viral infections and antibiotics. The vaccine has triggered an outbreak. I treat it with 400 mg acyclovir 2x a day until resolved..

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Cold sores" starting to get better.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Lymph node pain under arms

Release 9 — day 42, dose 2

2021-06-11

Symptoms: I have recurrent Herpes Associated Erythema Multiforme, and I had a severe rash develop a few days ago. I also have a fever of about 100° F.

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
SDHerpes virus infection ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓

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

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