2PW-28488-30858
5 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 307 / GA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Dose 2 — Pfizer-BioNTech
-
2021-03-24
Registered in v-safe
-
2021-04-29
Survey response — 3 months, dose 2MedDRA: Herpes zoster, Myalgia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Developed shingles two weeks after my first vaccine. Fairly mild case of breakouts( I have had both shingles vaccines) but fairly severe associated myalgia that lasted about 3 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
-
2021-08-16
Dose 3 — Moderna
- 2021-09-30
- 2021-11-15
- 2022-02-14
-
2022-03-31
Dose 4 — Moderna
-
2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Back pain, Herpes zoster, Malaise, Neck pain, Rash, Rash vesicular — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I am experiencing shingles or shingles- like rash on my hip about the size of a half dollar. Accompanied by neck and upper back achiness and malaise. Started the day after injection and is gradually getting better after 3-4 days.MedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Almost back to normalMedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-04-07
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2022-04-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
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2022-05-12
Survey response — day 42, dose 4MedDRA: Rash — Feeling: GoodFree text: Still having random skin rashes. May or may not be related.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
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2022-09-09
Dose 5 — Pfizer-BioNTech
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 8 — 3 months, dose 2
Symptoms: Developed shingles two weeks after my first vaccine. Fairly mild case of breakouts( I have had both shingles vaccines) but fairly severe associated myalgia that lasted about 3 weeks.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I am experiencing shingles or shingles- like rash on my hip about the size of a half dollar. Accompanied by neck and upper back achiness and malaise. Started the day after injection and is gradually getting better after 3-4 days.
Systemic reaction (other): Almost back to normal
Release 11 — day 42, dose 4
Symptoms: Still having random skin rashes. May or may not be related.
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 | Myalgia | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Herpes zoster | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash vesicular | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release