54J-14103-62629
5 vaccinations
8 coded responses
34 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 801 / CO
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Neuralgia, Oral herpes, Pruritus — Feeling: GoodFree text: I had prodromal symptoms of a recurrence of orolabial herpes; I treated it with a prescribed course of Famvir which relieved the nerve pain and itching...perhaps it was relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-15
Survey response — day 14, dose 1MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: ShinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-22
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Photophobia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesFree text: PhotophobiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Fair · Site: ItchingFree text: I got a bad cold sore!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: FairFree text: Just the big cold sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: The cold sore continues. My question is: will my immune response to the vaccine be dulled by famciclovir? You dont need to let me know personally, but include that in the research being done.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-11-20
Dose 3 — Pfizer-BioNTech
-
2021-12-13
Call successfulDoes not wish to fill out VAERS report
- 2022-04-01
-
2022-06-02
Dose 4 — Pfizer-BioNTech
- 2022-06-27
- 2022-06-30
- 2022-07-07
- 2022-07-14
- 2022-09-01
-
2022-10-14
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-01
- 2023-01-13
-
2023-04-14
Survey response — 6 months, dose 5MedDRA: Arthralgia, Arthritis, Erythema, Osteoarthritis — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
| 4 | 2022-06-02 | Pfizer-BioNTech | No |
| 5 | 2022-10-14 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I had prodromal symptoms of a recurrence of orolabial herpes; I treated it with a prescribed course of Famvir which relieved the nerve pain and itching...perhaps it was related
Release 5 — day 14, dose 1
Symptoms: Shingles
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Photophobia
Systemic reaction (other): I got a bad cold sore!
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Just the big cold sore.
Systemic reaction (other): The cold sore continues. My question is: will my immune response to the vaccine be dulled by famciclovir? You dont need to let me know personally, but include that in the research being done.
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Osteoarthritis | · | · | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release