32C-29482-54134
4 vaccinations
6 coded responses
50 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 786 / TX
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-16
- 2021-02-22
-
2021-02-23
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-30
Survey response — day 35, dose 2MedDRA: Back pain, Herpes zoster, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The day after my second vaccination I redeveloped back pain. I saw my doctor last week and we are both thinking that my shingles are coming back as perhaps the vaccine stressed my immune system.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-05-25
- 2021-08-24
-
2021-10-22
Dose 3 — Moderna
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure increased — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Elevated blood pressure today. Usually run 105/65 but today was 135/85MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-01-23
Call successfulParticipant prefers to complete VAERS report online
-
2022-05-21
Dose 4 — Moderna
- 2022-05-21
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
-
2022-06-05
Survey response — day 14, dose 4MedDRA: Herpes zoster — Feeling: GoodFree text: I am having yet another shingles outbreak.MedDRA releases: 2024-11 · check-in free text available
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2022-06-11
Survey response — day 21, dose 4MedDRA: Herpes zoster — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Another shingles outbreatMedDRA releases: 2024-11 · check-in free text available
-
2022-06-11
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-06-13
Call successfulCompleted over the phone
- 2022-06-18
- 2022-06-25
-
2022-07-02
Survey response — day 42, dose 4MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Shingles outbreaks continues. Going back on an antiviral.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-02
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-05
Call successfulReported to VAERS during previous contact from GDIT
- 2022-08-20
-
2022-11-19
Survey response — 6 months, dose 4MedDRA: Back pain, Herpes zoster — Feeling: Fair · Be unable to do your normal daily activitiesFree text: After my last covid vaccination, I broke Out with shingle which last 2.5 months. I have residual back pain. I got my flu shot and several days later it broke out again with shingles.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — day 35, dose 2
Symptoms: The day after my second vaccination I redeveloped back pain. I saw my doctor last week and we are both thinking that my shingles are coming back as perhaps the vaccine stressed my immune system.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Elevated blood pressure today. Usually run 105/65 but today was 135/85
Release 11 — day 14, dose 4
Symptoms: I am having yet another shingles outbreak.
Release 12 — day 21, dose 4
Symptoms: Another shingles outbreat
Release 12 — day 42, dose 4
Symptoms: Shingles outbreaks continues. Going back on an antiviral.
Release 12 — 6 months, dose 4
Symptoms: After my last covid vaccination, I broke Out with shingle which last 2.5 months. I have residual back pain. I got my flu shot and several days later it broke out again with 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 | Back pain | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release