3CC-30958-97456
3 vaccinations
7 coded responses
33 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 640 / MO
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Dose 1 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Swollen & painful neck lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
- 2021-03-30
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2021-04-08
Dose 2 — Moderna
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2021-04-08
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-14
- 2021-04-15
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2021-04-22
Survey response — day 14, dose 2MedDRA: Genital herpes — Feeling: GoodFree text: Genital herpes sores appeared about 5 days after 2nd shot. I haven't experienced an episode in YEARS!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-06
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2021-05-13
Survey response — day 35, dose 2MedDRA: Fatigue, Heavy menstrual bleeding — Feeling: FairFree text: Horribly heavy period and random unusual fatiqueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-07-08
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2021-10-07
Survey response — 6 months, dose 2MedDRA: Herpes virus infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The herpes virus is out of control. Ive has multiple out breaks since the vaccination. More severe than ever beforeMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-08
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-11-19
Dose 3 — Moderna
- 2021-11-19
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Joint painsAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
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2021-12-24
Survey response — day 35, dose 3MedDRA: Herpes simplex, Pre-existing disease — Feeling: FairFree text: Genital herpes outbreak on 12-17-21. Instead of the typical single sore 2x a year is a large cluster. I've NEVER had an outbreak like this.MedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Survey response — day 42, dose 3MedDRA: Herpes simplex, Pre-existing disease — Feeling: FairFree text: This herpes 2 outbreak has been absolutely HORRIBLE! The worst of my life. :(MedDRA releases: 2024-11 · check-in free text available
- 2022-02-18
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2022-11-20
Survey response — 12 months, dose 3MedDRA: Herpes simplex, Pre-existing disease — Feeling: FairFree text: More herpes outbreaks than usual type 1 and 2MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Swollen & painful neck lymph nodes
Release 7 — day 14, dose 2
Symptoms: Genital herpes sores appeared about 5 days after 2nd shot. I haven't experienced an episode in YEARS!!!
Release 8 — day 35, dose 2
Symptoms: Horribly heavy period and random unusual fatique
Release 10 — 6 months, dose 2
Symptoms: The herpes virus is out of control. Ive has multiple out breaks since the vaccination. More severe than ever before
Release 10 — day 35, dose 3
Symptoms: Genital herpes outbreak on 12-17-21. Instead of the typical single sore 2x a year is a large cluster. I've NEVER had an outbreak like this.
Release 10 — day 42, dose 3
Symptoms: This herpes 2 outbreak has been absolutely HORRIBLE! The worst of my life. :(
Release 12 — 12 months, dose 3
Symptoms: More herpes outbreaks than usual type 1 and 2
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Genital herpes | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Herpes simplex | · | · | ✓ |
| SD | Herpes virus infection | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release