5EU-12861-27254

Timeline

1. 2021-01-25
   Dose 1 — Moderna
2. 2021-02-01
   Registered in v-safe
3. 2021-02-01
   Survey response — day 7, dose 1

   MedDRA: Dizziness, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

   Free text: Dizziness and blurred vision

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-02-08
   Survey response — day 14, dose 1

   MedDRA: Chest pain, Dizziness, Electrocardiogram, Emergency care, Office visit, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

   Free text: Symptoms: 40 min after the first shot I became dizzy and my vision blurred for about an hour. 8 days later I had an aching in my left chest area. It lasted 2 days. I went for an EKG and it came back normal. Im feeling very well today. · Healthcare visit (other): Went to urgent care and was directed to the ER

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-02-08
   Report sent to call center — day 14, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
6. 2021-02-15
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
7. 2021-02-22
   Dose 2 — Moderna
8. 2021-02-26
   Survey response — days 1–6 daily, dose 2

   MedDRA: Heart rate increased, Herpes virus infection — Feeling: Good · Site: Pain

   Free text: An outbreak of Herpes virus after each shot. And immediately after the shot I had faster heartbeat and a slight concern

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-02-27
   Survey response — days 1–6 daily, dose 2

   MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good · Site: Redness · Headache

   Free text: Activated herpes virus. Havent had it for years.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-03-02
    Survey response — day 7, dose 2

    MedDRA: Herpes simplex, Herpes simplex reactivation, Pre-existing disease — Feeling: Good

    Free text: Reactivated herpes virus that lay dormant for many years.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-03-08
    Survey response — day 14, dose 2

    MedDRA: Herpes simplex — Feeling: Fair

    Free text: Continuing to get possible outbreaks of herpes virus. The virus has been dormant for years and never have I had other than herpes 1 but since the vaccination I have had numerous outbreaks both 1and 2 virus.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-03-17
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
13. 2021-04-07
    Survey response — day 42, dose 2

    MedDRA: Herpes virus infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Symptoms: I have experienced an activation of the herpes virus that has been dormant for 20 yrs and never have I experienced herpes 2 however after the second COVID shot I have had a reoccurring outbreak at least 3 times. · Healthcare visit (other): Dr appointment

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-04-07
    Report sent to call center — day 42, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
15. 2021-06-15
    Call 1 — Left Voicemail
16. 2021-06-15
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact