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5XA-32432-34868

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
150 / PA
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizzyness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gingival pain — Feeling: Good · Site: Pain
    Free text: Swollen painful gums
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gingival pain, Gingival swelling — Feeling: Good
    Free text: Swollen painful gums
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-12
    Survey response — day 21, dose 1
    MedDRA: Nasopharyngitis, Oral herpes — Feeling: Good
    Free text: I had a recurrance of a cold sore and minor cold symptoms for 3-4 days. The week i had the vaccine, i had a cold sore and took valtrex. I have only had 3 colsores in 6 years, so two in 2 weeks is abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Survey response — day 28, dose 1
    MedDRA: Dizziness, Pre-existing disease — Feeling: Good
    Free text: I had 2 days in a row during which I experienced some light headed sensations for about half the day. I also have meniere's so this may have just been an episode of meniere's.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-24
    Dose 2 — Moderna
  13. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-07
    Survey response — day 42, dose 2
    MedDRA: Oral herpes — Feeling: Good
    Free text: I have another cold sore. I had a cold sore and took valtrex three days before I got my 1st vaccine and have now had 2 more coldsore since then. Previously I had 3 cold sores in 6 years. Now I've had 3 in 8 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-24Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Dizzyness

2021-01-24

Systemic reaction (other): Swollen painful gums

2021-01-27

Systemic reaction (other): Swollen painful gums

Release 4 — day 21, dose 1

2021-02-12

Symptoms: I had a recurrance of a cold sore and minor cold symptoms for 3-4 days. The week i had the vaccine, i had a cold sore and took valtrex. I have only had 3 colsores in 6 years, so two in 2 weeks is abnormal.

Release 4 — day 28, dose 1

2021-02-19

Symptoms: I had 2 days in a row during which I experienced some light headed sensations for about half the day. I also have meniere's so this may have just been an episode of meniere's.

Release 7 — day 42, dose 2

2021-04-07

Symptoms: I have another cold sore. I had a cold sore and took valtrex three days before I got my 1st vaccine and have now had 2 more coldsore since then. Previously I had 3 cold sores in 6 years. Now I've had 3 in 8 weeks.

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

FieldPreferred term2021-092023-042024-11
SDDizziness ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROGingival pain ✓ ✓ ✓
SROGingival swelling ✓ ✓ ✓

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