Z4D-20855-32082
1 vaccination
6 coded responses
7 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 302 / GA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-22
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Arthritis, Chest discomfort, Diarrhoea, Irritable bowel syndrome, Oesophagitis, Oral herpes, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: About an hour after vaccination, felt tightness in chest/esophagus but it went away after a few hours. Diarrhea is part of Irritable Bowel, not necessarily due to vaccine. I have a Coldsore on lip presented two days before vaccine, very sore at time of vaccine, avoided taking acyclovir because of upcoming vaccination date, but applied topical acyclovir about 24 hours after vaccination. Joint pains could be my arthritis and because I did not take my usual advil at bedtime (avoided because of vaccination.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes, Pain, Pre-existing disease, Self-medication, Swelling — Feeling: Good · HeadacheFree text: I dont associate any of these symptoms with the shot. Coldsore was still causing its own distinct swelling and pain so last night took advil and started taking my acyclovir meds (in past, every time I let coldsore go without taking acyclovir the lip gets horribly swollen and infected.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Lip pain, Oral herpes — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Normal temp is 95.3-96.5. I have a very large painful coldsore on lip that could be causing all of these symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I still think any symptoms I have are only because of the coldsore. Didnt get much sleep last 2 nights due to the extreme shingles-like pain from coldsore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Again, only because of severe coldsoreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-23
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2022-02-22
Survey response — 12 months, dose 1MedDRA: Ear infection, Illness, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Occasional colds/crud/ear infection going around (mostly never tested because the people i caught it from had tested negative).MedDRA releases: 2024-11 · check-in free text available
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2022-02-22
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-23
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2022-02-23
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-22 | Successful 2022-02-23 |
Does not wish to fill out VAERS report |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): About an hour after vaccination, felt tightness in chest/esophagus but it went away after a few hours. Diarrhea is part of Irritable Bowel, not necessarily due to vaccine. I have a Coldsore on lip presented two days before vaccine, very sore at time of vaccine, avoided taking acyclovir because of upcoming vaccination date, but applied topical acyclovir about 24 hours after vaccination. Joint pains could be my arthritis and because I did not take my usual advil at bedtime (avoided because of vaccination.)
Systemic reaction (other): I dont associate any of these symptoms with the shot. Coldsore was still causing its own distinct swelling and pain so last night took advil and started taking my acyclovir meds (in past, every time I let coldsore go without taking acyclovir the lip gets horribly swollen and infected.)
Systemic reaction (other): Normal temp is 95.3-96.5. I have a very large painful coldsore on lip that could be causing all of these symptoms.
Systemic reaction (other): I still think any symptoms I have are only because of the coldsore. Didnt get much sleep last 2 nights due to the extreme shingles-like pain from coldsore.
Systemic reaction (other): Again, only because of severe coldsore
Release 11 — 12 months, dose 1
Symptoms: Occasional colds/crud/ear infection going around (mostly never tested because the people i caught it from had tested negative).
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 | Ear infection | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SRO | Lip pain | ✓ | ✓ | ✓ |
| SRO | Oesophagitis | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release