2ZB-80666-66504
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 650 / MO
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: Slight sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Dose 2 — Moderna
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Taste disorder — Feeling: GoodFree text: Some brief changes to taste day after administrationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
-
2021-04-07
Survey response — day 21, dose 2MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: On 3/15/21 I was assaulted by an optometrist in his office. I was subsequently diagnosed with herpes zoster (shingles) on 3/28/21, but was experiencing symptoms prior to that date. Since 3/28, I have been undergoing treatment for shingles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-14
- 2022-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-07 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Slight sore throat
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Some brief changes to taste day after administration
Release 7 — day 21, dose 2
Symptoms: On 3/15/21 I was assaulted by an optometrist in his office. I was subsequently diagnosed with herpes zoster (shingles) on 3/28/21, but was experiencing symptoms prior to that date. Since 3/28, I have been undergoing treatment for 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 |
|---|---|---|---|---|
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release