34J-19533-60350
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 199 / DE
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tirednessAdult check-in
- 2021-01-04
- 2021-01-11
-
2021-01-18
Survey response — day 21, dose 1MedDRA: Chills, Cold sweat, Fatigue — Feeling: GoodFree text: I received the vaccination on 12/28. Had Chills the next day x 2 hours and very fatigued that day. On 1/16 I experienced fatigue and felt like I had a fever but my Temp was only 98.2 although I usually run at 96.6-97.3. I also became very clammy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Dose 2 — Moderna
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 2MedDRA: Herpes zoster — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 7/8 days after the vaccine I developed Shingles!I think the vaccine lowered my immunity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
-
2021-02-22
Survey response — day 28, dose 2MedDRA: Herpes zoster, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Terrible pain from Shingles which I acquired 8 days after my 2nd vaccination. · Healthcare visit (other): Once To Urgent Care for Valtrex. Once to PCP for f/I and 2 calls to PCP for pain medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-01
Survey response — day 35, dose 2MedDRA: Herpes zoster, Pruritus — Feeling: FairFree text: Still continue with Shingles Itching is intense. No pain at this point. Shingles rash still down right arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-04-26
- 2021-07-22
-
2021-07-26
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Viral cold 1 month ago and now sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 21, dose 1
Symptoms: I received the vaccination on 12/28. Had Chills the next day x 2 hours and very fatigued that day. On 1/16 I experienced fatigue and felt like I had a fever but my Temp was only 98.2 although I usually run at 96.6-97.3. I also became very clammy.
Release 3 — day 14, dose 2
Symptoms: 7/8 days after the vaccine I developed Shingles!I think the vaccine lowered my immunity.
Release 4 — day 28, dose 2
Symptoms: Terrible pain from Shingles which I acquired 8 days after my 2nd vaccination.
Healthcare visit (other): Once To Urgent Care for Valtrex. Once to PCP for f/I and 2 calls to PCP for pain meds
Release 4 — day 35, dose 2
Symptoms: Still continue with Shingles Itching is intense. No pain at this point. Shingles rash still down right arm.
Release 9 — 6 months, dose 2
Symptoms: Viral cold 1 month ago and now sore throat
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cold sweat | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release