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5EN-11323-10850

4 vaccinations 3 coded responses 5 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
707 / LA
Registered
2021-04-20
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-02-10
    Dose 2 — Moderna
  3. 2021-04-20
    Registered in v-safe
  4. 2021-04-20
    Survey response — 3 months, dose 1
    MedDRA: Herpes zoster, Lymphadenopathy, Musculoskeletal chest pain, Office visit, Skin burning sensation — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I developed shingles after getting the sexond dose of moderma vaccine. I had burning skin and chest wall pain with swollen lymphnodes on the left side which is the side I got the vaccines. · Healthcare visit (other): Went to my primary physician
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-20
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-09-22
    Dose 3 — Moderna
  8. 2021-10-27
    Survey response — day 35, dose 3
    MedDRA: Arthralgia, Asthenia, Blood pressure increased, Fatigue — 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
    Free text: finding myaelf feeling just drained and more tired than usual since the booster shot and blood pressure has been high. i have also had shoukder pains.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-27
    Report sent to call center — day 35, dose 3
    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 · 1 call case(s)
  10. 2021-11-01
  11. 2021-11-02
  12. 2021-11-12
  13. 2022-02-10
    Dose 4 — Pfizer-BioNTech
  14. 2022-05-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-08-13
    Survey response — 6 months, dose 4
    MedDRA: Anxiety, Aphasia, Brain fog, Fatigue, Impaired work ability, Insomnia, Pruritus, Unevaluable event — Feeling: Fair · 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: Brain fog, word fishing more and more. Anxiety over catching covid and passing it along to others. I miss appointments because of the fatigue. Insomnia as well as itching on that side the shot was given
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-08-13
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2022-08-15
  18. 2022-10-06
  19. 2022-10-06
  20. 2022-10-06
  21. 2022-10-11
  22. 2022-10-11
  23. 2022-10-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna
32021-09-22Moderna No
42022-02-10Pfizer-BioNTech No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — 3 months, dose 1

2021-04-20

Symptoms: I developed shingles after getting the sexond dose of moderma vaccine. I had burning skin and chest wall pain with swollen lymphnodes on the left side which is the side I got the vaccines.
Healthcare visit (other): Went to my primary physician

Release 10 — day 35, dose 3

2021-10-27

Symptoms: finding myaelf feeling just drained and more tired than usual since the booster shot and blood pressure has been high. i have also had shoukder pains.

Release 12 — 6 months, dose 4

2022-08-13

Symptoms: Brain fog, word fishing more and more. Anxiety over catching covid and passing it along to others. I miss appointments because of the fatigue. Insomnia as well as itching on that side the shot was given

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
HCVOOffice visit ✓ ✓ ✓
SDAnxiety · · ✓
SDAphasia · · ✓
SDArthralgia · · ✓
SDAsthenia · · ✓
SDBlood pressure increased · · ✓
SDBrain fog · · ✓
SDFatigue · · ✓
SDHerpes zoster ✓ ✓ ✓
SDImpaired work ability · · ✓
SDInsomnia · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDPruritus · · ✓
SDSkin burning sensation ✓ ✓ ✓
SDUnevaluable event · · ✓

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