4X4-24614-96468

4 vaccinations 12 coded responses 47 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 981 / WA
Registered: 2021-01-05

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 21, dose 1
MedDRA: Ophthalmic herpes simplex — Feeling: Good

Free text: Cold sore (virus) outbreak on my eyelid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Moderna
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion and post-nasal drainage x 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 35, dose 2
MedDRA: Pre-existing disease, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Seasonal allergies - mostly congestion and post-nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
Co-administered: Flu
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Survey response — day 7, dose 3
MedDRA: Parotid gland enlargement — Feeling: Good

Free text: Swollen right parotid gland

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 21, dose 3
MedDRA: Oral herpes, Self-medication — Feeling: Good

Free text: Cold sore (HSV) in my nose - lasted 2 days, applied Abreva to it once

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 28, dose 3
MedDRA: Nasal herpes — Feeling: Fair

Free text: Cold sore (HSV) in each nostril

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 35, dose 3
MedDRA: Oral herpes — Feeling: Fair

Free text: Cold sore in nostril

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 42, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Survey response — 3 months, dose 3
MedDRA: Oral herpes — Feeling: Fair

Free text: Cold sores in nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-20
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold sores on face under eyeglasses nose pads

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — days 1–6 daily, dose 4
MedDRA: Herpes simplex, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: HSV outbreak not responding to topical treatments

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-22
Call successful
Participant prefers to complete VAERS report online
2022-09-23
Survey response — day 7, dose 4
MedDRA: Herpes simplex — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: HSV 1 outbreak

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-11-12	Moderna	Flu
4	2022-09-16	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Cold sore (virus) outbreak on my eyelid

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Congestion and post-nasal drainage x 5 days

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Seasonal allergies - mostly congestion and post-nasal drip

Release 10 — day 7, dose 3

2021-11-19

Systemic reaction (other): Swollen right parotid gland

Release 10 — day 21, dose 3

2021-12-03

Symptoms: Cold sore (HSV) in my nose - lasted 2 days, applied Abreva to it once

Release 10 — day 28, dose 3

2021-12-10

Symptoms: Cold sore (HSV) in each nostril

Release 10 — day 35, dose 3

2021-12-17

Symptoms: Cold sore in nostril

Release 10 — day 42, dose 3

2021-12-24

Symptoms: Sore throat

Release 11 — 3 months, dose 3

2022-02-11

Symptoms: Cold sores in nose

Release 12 — days 1–6 daily, dose 4

2022-09-20

Systemic reaction (other): Cold sores on face under eyeglasses nose pads

2022-09-21

Systemic reaction (other): HSV outbreak not responding to topical treatments

Release 12 — day 7, dose 4

2022-09-23

Systemic reaction (other): HSV 1 outbreak

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	Nasal herpes	·	·	✓
SD	Ophthalmic herpes simplex	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Herpes simplex	·	·	✓
SRO	Oral herpes	·	·	✓
SRO	Parotid gland enlargement	·	·	✓
SRO	Pre-existing disease	·	·	✓

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