3GA-33931-06081

5 vaccinations 10 coded responses 42 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 113 / NY
Registered: 2021-04-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1925425 (opens in a new window)	high	11 / 11	4	1 of 1 VAERS symptoms	same dose (2)	ME differs	2021-06-02 / 2021-06-04 / 2021-12-06 received 95 days after the last call	case 982212

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-30
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Survey response — day 21, dose 1
MedDRA: Herpes zoster, Skin lesion, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Shingles, diagnosed yesterday. On my scalp, forehead and eyes.Was supposed to have second vaccine tomorrow but was advised too reschedule until after lesions crust over. · Healthcare visit (other): I have an appointment with the opthalmologist today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 28, dose 1
MedDRA: Eye pain, Fatigue, Herpes zoster, Office visit, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shingles with spreading rash, pain, nausea and fatigue.It has spread to my eye. · Healthcare visit (other): Opthalmologist in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 42, dose 1
MedDRA: Antiviral treatment, Herpes zoster, Keratitis, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shingles in cornea. Worsening inflammation. Its very serious. On antivirals and steroid eye drops. Unclear prognosis. · Healthcare visit (other): Ophthalmologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Dose 2 — Moderna
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have a rash on my chest and stomach.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-01
Survey response — 3 months, dose 2
MedDRA: Eye inflammation, Herpes zoster, Impaired work ability, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: New inflammation in the eye affected by shingles. Visit to cornea specialist. On higher dose of valacylovir and steroid eye drop. Continued regular visits to opthalmologist for monitoring. · Healthcare visit (other): Cornea specialist in Portland, had to take day off from work

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-12-01
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: New flare up of HZO in eye and back on steroid drops. Still taking valacyclovir. · Healthcare visit (other): Opthalmologist

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-02
Call 1 — Left Voicemail
2021-12-03
Dose 3 — Moderna
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: a new rash appeared on my abdomen.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Rash, Rash macular — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Free text: I still have a spotted rash on my abdomen

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Call successful
Completed over the phone
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Eye naevus, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had another flare up off HZO with spots on my eye and had to have several ophthalmologist visits and increased medication. · Healthcare visit (other): Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-04-05
Dose 4 — Moderna
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Dose 5 — Moderna
2022-10-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-04
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-17
Survey response — day 35, dose 5
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: COVID diagnosis

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-06-02	Moderna
3	2021-12-03	Moderna	No
4	2022-04-05	Moderna	No
5	2022-09-12	Moderna	No

Call center

7 call center cases

6 successful · 1 unsuccessful

VAERS report filed, before or during a call: 6

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-04-26

Symptoms: Shingles, diagnosed yesterday. On my scalp, forehead and eyes.Was supposed to have second vaccine tomorrow but was advised too reschedule until after lesions crust over.

Healthcare visit (other): I have an appointment with the opthalmologist today

Release 8 — day 28, dose 1

2021-04-27

Symptoms: Shingles with spreading rash, pain, nausea and fatigue.It has spread to my eye.

Healthcare visit (other): Opthalmologist in office

Release 8 — day 42, dose 1

2021-05-11

Symptoms: Shingles in cornea. Worsening inflammation. Its very serious. On antivirals and steroid eye drops. Unclear prognosis.

Healthcare visit (other): Ophthalmologist

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): I have a rash on my chest and stomach.

Release 9 — 3 months, dose 2

2021-09-01

Symptoms: New inflammation in the eye affected by shingles. Visit to cornea specialist. On higher dose of valacylovir and steroid eye drop. Continued regular visits to opthalmologist for monitoring.

Healthcare visit (other): Cornea specialist in Portland, had to take day off from work

Release 10 — 6 months, dose 2

2021-12-01

Symptoms: New flare up of HZO in eye and back on steroid drops. Still taking valacyclovir.

Healthcare visit (other): Opthalmologist

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): a new rash appeared on my abdomen.

2021-12-06

Systemic reaction (other): I still have a spotted rash on my abdomen

Release 11 — 3 months, dose 3

2022-03-04

Symptoms: I had another flare up off HZO with spots on my eye and had to have several ophthalmologist visits and increased medication.

Healthcare visit (other): Doctor visit

Release 12 — day 35, dose 5

2022-10-17

Symptoms: COVID diagnosis

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	Impaired work ability	✓	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Antiviral treatment	○	✓	○
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye inflammation	✓	·	✓
SD	Eye naevus	·	·	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Keratitis	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Skin lesion	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash macular	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release