6V3-29851-73264
4 vaccinations
3 coded responses
33 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 953 / CA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 21, dose 1MedDRA: Bowel movement irregularity, Diarrhoea — Feeling: GoodFree text: For 2-3 days I had an issue of having a bowel movement within an hour after eating every meal. No pain, but loose stools. Not sure if something I ate didn't agree or what was going on. Thought I should mention it since it was strange..I felt fine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-25
- 2021-03-26
- 2021-04-03
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-05-02
Survey response — day 42, dose 2MedDRA: Condition aggravated, Herpes simplex — Feeling: GoodFree text: This happened after my first shot also but I didn't relate it to the shot. When it happened after second shot, I thought I should report. 2 to 3 weeks after each shot, I had a small outbreak of a herpes sore. Lasted several days each time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
-
2021-11-17
Dose 3 — Moderna
- 2022-03-19
-
2022-06-14
Dose 4 — Moderna
-
2022-06-20
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: GoodFree text: I was having a herpes simplex 2 sore prior to and on the day of this second booster. I looked it up and it seemed okay to get the shot. But I was amazed that within a couple days the sore completely disappeared and I had no pain in that area.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
- 2022-06-28
- 2022-07-06
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-09-13
- 2022-12-15
- 2023-06-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-06-14 | Moderna | No |
Free text
Release 5 — day 21, dose 1
Symptoms: For 2-3 days I had an issue of having a bowel movement within an hour after eating every meal. No pain, but loose stools. Not sure if something I ate didn't agree or what was going on. Thought I should mention it since it was strange..I felt fine! cut off by CDC
Release 8 — day 42, dose 2
Symptoms: This happened after my first shot also but I didn't relate it to the shot. When it happened after second shot, I thought I should report. 2 to 3 weeks after each shot, I had a small outbreak of a herpes sore. Lasted several days each time.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I was having a herpes simplex 2 sore prior to and on the day of this second booster. I looked it up and it seemed okay to get the shot. But I was amazed that within a couple days the sore completely disappeared and I had no pain in that area.
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 | Bowel movement irregularity | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Herpes simplex | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Therapeutic response unexpected | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release