4H4-27965-27583
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 775 / TX
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mildly sore throatMedDRA 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 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My symptoms increased yesterday evening after my report to you. As of this morning the symptoms are goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-09
Dose 2 — Moderna
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · 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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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Good · Site: PainFree text: Cold sore (herpes simples virus) in my lip developed the day after this shot as well as after the first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Still have a fever blister on my lip trying to break outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes, Vaccine positive rechallenge — Feeling: GoodFree text: Still lingering cold sore (I had one with the last shot, too)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Remains of fever blister/cold soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 35, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Double cold sores. I havent two cold sores at the same time since childhood. And this is the third bout since my Covid vaccine. That itself is unusual. I usually get maybe 3 in a year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 42, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Another cold sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-07
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mildly sore throat
Systemic reaction (other): My symptoms increased yesterday evening after my report to you. As of this morning the symptoms are gone
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Cold sore (herpes simples virus) in my lip developed the day after this shot as well as after the first shot
Systemic reaction (other): Still have a fever blister on my lip trying to break out
Systemic reaction (other): Still lingering cold sore (I had one with the last shot, too)
Systemic reaction (other): Remains of fever blister/cold sore
Release 7 — day 35, dose 2
Symptoms: Double cold sores. I havent two cold sores at the same time since childhood. And this is the third bout since my Covid vaccine. That itself is unusual. I usually get maybe 3 in a year.
Release 7 — day 42, dose 2
Symptoms: Another cold sore.
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 | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release