5MX-70878-97835
1 vaccination
4 coded responses
9 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 535 / WI
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-04-15
Registered in v-safe
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2021-04-15
Dose 1 — Moderna
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2021-04-15
Health check-in — day 0, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Cheilitis, Herpes simplex, Immunisation reaction, Oral discomfort, Oral pain, Stomatitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covid mouth? Seems like herpes simplex, but related to fever and instead of external blisters, the inside of my mouth and my lips feel inflamed, very hot, inside is slmost raw and anything i eat or drink seems to exacerbate this. Very painful. The ONLY thing that helped was acyclovir, 800mg 5 times a day and acyclovir ointment i bought in mexico. This symptom was pretty awful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good · Headache, Fatigue or tirednessFree text: Still dealing with the subcutaneous affects of covid and/or herpes simplex ouside of and inside of my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 7, dose 1MedDRA: Oral pain — Feeling: Good · Headache, Fatigue or tirednessFree text: Sore mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
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2021-10-14
Survey response — 6 months, dose 1MedDRA: Blood cholesterol increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: High cholesterolMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-18
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2021-10-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Covid mouth? Seems like herpes simplex, but related to fever and instead of external blisters, the inside of my mouth and my lips feel inflamed, very hot, inside is slmost raw and anything i eat or drink seems to exacerbate this. Very painful. The ONLY thing that helped was acyclovir, 800mg 5 times a day and acyclovir ointment i bought in mexico. This symptom was pretty awful.
Systemic reaction (other): Still dealing with the subcutaneous affects of covid and/or herpes simplex ouside of and inside of my mouth.
Release 7 — day 7, dose 1
Systemic reaction (other): Sore mouth
Release 10 — 6 months, dose 1
Symptoms: High cholesterol
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 | Blood cholesterol increased | · | · | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Herpes simplex | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release