6PK-75269-89778
3 vaccinations
3 coded responses
30 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
- 2021-03-12
- 2021-03-21
-
2021-03-27
Dose 2 — Moderna
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Muscle or body achesAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-03
- 2021-05-08
- 2021-06-27
- 2021-09-25
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Herpes simplex — Feeling: Poor · Site: Pain · Fever · Chills · Be unable to do your normal daily activitiesFree text: HSV1 outbreakMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Herpes simplex, Influenza like illness, Medical counselling, Pre-existing disease — Feeling: Fair · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): HSV1 outbreak with flu like symptoms · Healthcare visit (other): Was given antiviral medication from phone consultMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-24
Survey response — day 7, dose 3MedDRA: Herpes simplex — Feeling: Good · Fatigue or tirednessFree text: Hsv-1 outbreakMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-30
- 2022-02-16
- 2022-05-18
- 2022-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-23 | Successful 2021-11-29 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): HSV1 outbreak
Systemic reaction (other): HSV1 outbreak with flu like symptoms
Healthcare visit (other): Was given antiviral medication from phone consult
Release 10 — day 7, dose 3
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| SRO | Herpes simplex | · | · | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release