4C4-27865-34253

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 911 / CA
Registered: 2021-03-16

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1865708 (opens in a new window)	high	11 / 11	-1	4 of 7 VAERS symptoms	same dose (1)	CA matches	2021-03-16 / 2021-04-05 / 2021-11-12 received 213 days after the last call	case 510855

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 21, dose 1
MedDRA: Abdominal pain lower, Blister, Groin pain, Herpes zoster, Rash, Rash erythematous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with shingles today : painful left sided lower abdominal,groin, and buttocks blisters, rash and redness from midline to midline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 28, dose 1
MedDRA: Blood glucose increased, Cellulitis, Dehydration, Diarrhoea, Drug hypersensitivity, Herpes zoster — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Shingles followed by elevated blood sugars, diahrrea, dehydration, allergic reaction to keflex, cellulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Dose 2 — Moderna
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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, Emergency room or emergency department visit

Free text: Shingles after #1 vaccine and pain at shingles site after #2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 7, dose 2
MedDRA: Herpes zoster, Medical counselling, Pain — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pain secondary to shingles · Healthcare visit (other): Homehealth nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 14, dose 2
MedDRA: Herpes zoster, Home care, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased shingles pain frequency · Healthcare visit (other): Home health and wound care clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Call 1 — Requested Callback
2021-11-12
Callback requested for
05:00PM ET
2021-11-12
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-15	Moderna

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 6

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Diagnosed with shingles today : painful left sided lower abdominal,groin, and buttocks blisters, rash and redness from midline to midline

Release 7 — day 28, dose 1

2021-04-13

Symptoms: Shingles followed by elevated blood sugars, diahrrea, dehydration, allergic reaction to keflex, cellulitis

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Shingles after #1 vaccine and pain at shingles site after #2

2021-04-21

Systemic reaction (other): Shingles

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Pain secondary to shingles

Healthcare visit (other): Homehealth nurse

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Increased shingles pain frequency

Healthcare visit (other): Home health and wound care clinic

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	Home care	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Blister	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Cellulitis	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Drug hypersensitivity	✓	✓	✓
SD	Groin pain	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Pain	✓	✓	✓

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