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
-
2021-01-13
Dose 1 — Moderna
-
2021-02-10
Dose 2 — Moderna
-
2021-04-20
Registered in v-safe
-
2021-04-20
Survey response — 3 months, dose 1MedDRA: Herpes zoster, Lymphadenopathy, Musculoskeletal chest pain, Office visit, Skin burning sensation — Feeling: Poor · Get care from a doctor or other healthcare professionalFree 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 physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
-
2021-09-22
Dose 3 — Moderna
-
2021-10-27
Survey response — day 35, dose 3MedDRA: 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 visitFree 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
-
2021-10-27
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-01
-
2021-11-02
Callback requested for05:00PM ET
- 2021-11-12
-
2022-02-10
Dose 4 — Pfizer-BioNTech
- 2022-05-14
-
2022-08-13
Survey response — 6 months, dose 4MedDRA: 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 visitFree 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 givenMedDRA releases: 2024-11 · check-in free text available
-
2022-08-13
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
- 2022-10-06
- 2022-10-06
- 2022-10-06
- 2022-10-11
- 2022-10-11
- 2022-10-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-09-22 | Moderna | No |
| 4 | 2022-02-10 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — 3 months, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Aphasia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release