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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

  1. 2021-02-22
    Dose 1 — Moderna
  2. 2021-02-23
    Registered in v-safe
  3. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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, Diarrhea
    Free 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
  4. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral herpes, Pain, Pre-existing disease, Self-medication, Swelling — Feeling: Good · Headache
    Free 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
  5. 2021-02-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lip pain, Oral herpes — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free 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
  6. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral herpes, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  7. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral herpes — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Again, only because of severe coldsore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-08-23
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2022-02-22
    Survey response — 12 months, dose 1
    MedDRA: 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 visit
    Free 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
  10. 2022-02-22
    Report sent to call center — 12 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-02-23
  12. 2022-02-23
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Moderna

Call center

ReportedOutcomeVAERS-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

2021-02-23

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.)

2021-02-24

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.)

2021-02-25

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.

2021-02-26

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.

2021-02-27

Systemic reaction (other): Again, only because of severe coldsore

Release 11 — 12 months, dose 1

2022-02-22

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

FieldPreferred term2021-092023-042024-11
SDEar infection · · ✓
SDIllness · · ✓
SDNasopharyngitis · · ✓
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROIrritable bowel syndrome ✓ ✓ ✓
SROLip pain ✓ ✓ ✓
SROOesophagitis ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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