DPB-18406-85318
1 vaccination
1 coded response
4 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 012 / MA
- Registered
- 2021-01-18
- Relationship
- Self
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-01-20
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Herpes simplex, Lymphadenopathy, Pre-existing disease — Feeling: FairFree text: Genital HSV outbreak and swollen inguinal lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Genital HSV outbreak and swollen inguinal lymph node
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 |
|---|---|---|---|---|
| SRO | Herpes simplex | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release