2KJ-20650-68507
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 925 / CA
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-05-03
Registered in v-safe
-
2021-05-04
Survey response — day 21, dose 1MedDRA: Herpes zoster — Feeling: Poor · 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 visitFree text: Since getting the Moderna vaccine on April 13th... I have now been diagnosed with Shingles and had symptoms 2 weeks after the vaccine and then got it check out the following week to be diagnosed with shingles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-11
Survey response — day 28, dose 1MedDRA: Constipation, Emergency care, Immunisation reaction, Pre-existing disease, Rash vesicular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Yes and no now... it got worse from the last report but just the last 3 days it has improving some symptoms like the herpes rash as of today and switching meds. However, I have moderate constipation and now ED because now the nerve S2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 21, dose 1
Symptoms: Since getting the Moderna vaccine on April 13th... I have now been diagnosed with Shingles and had symptoms 2 weeks after the vaccine and then got it check out the following week to be diagnosed with shingles.
Release 8 — day 28, dose 1
Symptoms: Yes and no now... it got worse from the last report but just the last 3 days it has improving some symptoms like the herpes rash as of today and switching meds. However, I have moderate constipation and now ED because now the nerve S2
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 | Constipation | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash vesicular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release