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3VR-14623-95722

6 vaccinations 7 coded responses 38 check-ins 7 free-text entries 4 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
981 / WA
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash, Sensory disturbance — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: Shot in left arm: sm area of rash near my left nipple, left nipple sensitive & painful to touch, rt nipple slightly sensitive. Large area of rash +/-10in in middle of my back; slightly itchy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nipple pain, Pruritus, Rash, Rash erythematous — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: The rash is in two places: 1) an arc around my left pec reaching to mid torso under my arm - this rash is painful, and my left nipple is extremely sore, 2) an 8-10 area in the middle of my back all filled in as a red mat (sensitive & itchy)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Herpes zoster — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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 visit
    Free text: Diagnosed with Shingles today by UW Med Ctr Doc.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Report sent to call center — days 1–6 daily, 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)
  9. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Herpes zoster, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: This scourge of Shingles really jams up my day. Should I still get Pfizer #2 as scheduled in Mar 28?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-03
    Survey response — day 28, dose 1
    MedDRA: Herpes zoster, Insomnia, Neuralgia, Rash — Feeling: Fair · 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 visit
    Free text: The Shingles rash has lasted 4wks+ since diagnosis. Nerve irritation remains severe, making adequate sleep problematic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-03
    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)
  15. 2021-04-10
    Survey response — day 35, dose 1
    MedDRA: Herpes zoster, Post herpetic neuralgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Shingles are 80% resolved in my 6th week of endurance. Diagnosed & medicated for Postherpetic Neuralgia. Not having a lot of fun these past several weeks. Doctor has advised against 2nd dose; will measure bloods for antibodies in early May.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-10
    Report sent to call center — day 35, 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)
  17. 2021-04-17
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  18. 2021-05-18
    Dose 2 — Pfizer-BioNTech
  19. 2021-06-05
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  20. 2021-06-15
  21. 2021-09-04
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  22. 2021-11-23
    Dose 3 — Pfizer-BioNTech
  23. 2022-03-06
    Survey response — 12 months, dose 1
    MedDRA: Herpes zoster, Induration, Office visit, Rash, Skin weeping — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: A small area of hard bumps on one bicep that seep clear yellow fluid. Doc says it looked like shingles, again, despite completing 2 doses of Shingrix. 2 x 10 day courses of Acyclovir done, yet bumps & seepage continue.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-03-06
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2022-03-07
    Call successful
    Participant prefers to complete VAERS report online
  26. 2022-04-25
    Dose 4 — Moderna
  27. 2022-11-05
    Dose 5 — Pfizer-BioNTech
  28. 2022-11-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  29. 2022-11-07
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  30. 2022-11-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  31. 2022-11-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Muscle or body aches
    Adult check-in
  32. 2022-11-10
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  33. 2022-11-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  34. 2022-11-12
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  35. 2022-11-19
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  36. 2022-11-26
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  37. 2022-12-03
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  38. 2022-12-10
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  39. 2022-12-17
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  40. 2023-02-04
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  41. 2023-04-28
    Dose 6 — Pfizer-BioNTech
  42. 2023-05-01
    Health check-in — days 1–6 daily, dose 6
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  43. 2023-05-02
    Health check-in — days 1–6 daily, dose 6
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  44. 2023-05-03
    Health check-in — days 1–6 daily, dose 6
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  45. 2023-05-04
    Health check-in — days 1–6 daily, dose 6
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  46. 2023-05-05
    Health check-in — day 7, dose 6
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2023-05-12
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  48. 2023-05-19
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  49. 2023-05-26
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  50. 2023-06-02
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  51. 2023-06-09
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Pfizer-BioNTech
22021-05-18Pfizer-BioNTech No
32021-11-23Pfizer-BioNTech No
42022-04-25Moderna No
52022-11-05Pfizer-BioNTech No
62023-04-28Pfizer-BioNTech No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Shot in left arm: sm area of rash near my left nipple, left nipple sensitive & painful to touch, rt nipple slightly sensitive. Large area of rash +/-10in in middle of my back; slightly itchy.

2021-03-10

Systemic reaction (other): The rash is in two places: 1) an arc around my left pec reaching to mid torso under my arm - this rash is painful, and my left nipple is extremely sore, 2) an 8-10 area in the middle of my back all filled in as a red mat (sensitive & itchy)

2021-03-11

Systemic reaction (other): Diagnosed with Shingles today by UW Med Ctr Doc.

2021-03-12

Systemic reaction (other): This scourge of Shingles really jams up my day. Should I still get Pfizer #2 as scheduled in Mar 28?

Release 6 — day 28, dose 1

2021-04-03

Symptoms: The Shingles rash has lasted 4wks+ since diagnosis. Nerve irritation remains severe, making adequate sleep problematic.

Release 7 — day 35, dose 1

2021-04-10

Symptoms: Shingles are 80% resolved in my 6th week of endurance. Diagnosed & medicated for Postherpetic Neuralgia. Not having a lot of fun these past several weeks. Doctor has advised against 2nd dose; will measure bloods for antibodies in early May.

Release 11 — 12 months, dose 1

2022-03-06

Symptoms: A small area of hard bumps on one bicep that seep clear yellow fluid. Doc says it looked like shingles, again, despite completing 2 doses of Shingrix. 2 x 10 day courses of Acyclovir done, yet bumps & seepage continue.

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

FieldPreferred term2021-092023-042024-11
SDHerpes zoster ✓ ✓ ✓
SDInduration · · ✓
SDInsomnia ✓ ✓ ✓
SDNeuralgia ✓ ✓ ✓
SDOffice visit · · ✓
SDPost herpetic neuralgia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSkin weeping · · ✓
SROHerpes zoster ✓ ✓ ✓
SRONipple pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SROSensory disturbance ✓ ✓ ✓

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

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