2AR-16055-51428
5 vaccinations
4 coded responses
52 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
-
2021-02-09
Survey response — day 21, dose 1MedDRA: Herpes zoster, Medical counselling, Pain in extremity, Pain of skin, Rash, Skin burning sensation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: On same arm as vaccination, have pain, burning, and skin sensitivity on inside of forearm. After week of this, four rashes broke out in the forearm. My doctor diagnosed shingles, and I will be taking valacyclovir for a week!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-16
Survey response — day 28, dose 1MedDRA: Herpes zoster — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Shingles in my right arm. So I have to postpone my second vaccination until I get better. I just finished a seven-day course of the antiviral drug Valtrex.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-07-17
- 2021-07-22
-
2021-07-22
Call successfulParticipant prefers to complete VAERS report online
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Loss of personal independence in daily activities, Nausea, Vertigo — Feeling: GoodFree text: Vertigo and slight nausea that affected me for about three days, but in only one day was it severe enough for me to cancel an activity.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-22
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-21
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-21
Dose 4 — Moderna
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
-
2022-07-21
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: A bad coldsore throat, head & chest congestion. No fever. Four antigen tests and two PCR tests were all negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-14
Dose 5 — Pfizer-BioNTech
- 2022-10-17
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-14 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 3 — day 21, dose 1
Symptoms: On same arm as vaccination, have pain, burning, and skin sensitivity on inside of forearm. After week of this, four rashes broke out in the forearm. My doctor diagnosed shingles, and I will be taking valacyclovir for a week!
Release 4 — day 28, dose 1
Symptoms: Shingles in my right arm. So I have to postpone my second vaccination until I get better. I just finished a seven-day course of the antiviral drug Valtrex.
Release 9 — 6 months, dose 2
Symptoms: Vertigo and slight nausea that affected me for about three days, but in only one day was it severe enough for me to cancel an activity.
Release 12 — 3 months, dose 4
Symptoms: A bad coldsore throat, head & chest congestion. No fever. Four antigen tests and two PCR tests were all 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 | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release