2DT-12329-21675
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 802 / CO
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-02-03
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: FairFree text: For some reason my right arm, the one that got the injection is hurting. Its hurting at the injection site and down my arm. It could be totally unrelated and based on a muscle strain but just not sureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster, Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Systemic reaction (other): I contracted shingles about two weeks after my first vaccine. That is why I am only feeling fair it is right where I got the shot · Healthcare visit (other): I tried all of the aboveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Please see my previous notes about having shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I have shingles so its probably not related to the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: See previous notes about shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 7, dose 2MedDRA: Herpes zoster — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: See previous notes about shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-21
-
2021-08-11
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — day 14, dose 1
Symptoms: For some reason my right arm, the one that got the injection is hurting. Its hurting at the injection site and down my arm. It could be totally unrelated and based on a muscle strain but just not sure
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I contracted shingles about two weeks after my first vaccine. That is why I am only feeling fair it is right where I got the shot
Healthcare visit (other): I tried all of the above
Systemic reaction (other): Please see my previous notes about having shingles
Systemic reaction (other): I have shingles so its probably not related to the shot
Systemic reaction (other): See previous notes about shingles
Release 4 — day 7, dose 2
Systemic reaction (other): See previous notes about shingles
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release