5GG-80046-80590
4 vaccinations
5 coded responses
15 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 021 / MA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-17
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with Shingles (showed symptoms a few days before first dose unknowingly)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with Shingles a few days after shot, and symptoms started before the first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster, Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Shingles Diagnosis and showed symptoms before shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Medical observation, Pre-existing disease — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Diagnosed with Shingles, symptoms appeared before first doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-03-22
Survey response — day 7, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to workFree text: Was diagnosed with Shingles. Symptoms started a few days before the first dose, and diagnosis was 4 days after the first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-07
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2021-04-13
Dose 2 — Moderna
-
2021-04-16
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-04-28
- 2021-05-18
- 2021-05-25
- 2021-07-13
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2021-11-11
Dose 3 — Moderna
- 2022-04-15
-
2022-10-27
Dose 4 — ModernaCo-administered: Flu
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-10-27 | Moderna | Flu |
Call center
5 call center cases
2 unsuccessful · 3 priority 2/3 (triaged and no follow up)
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Diagnosed with Shingles (showed symptoms a few days before first dose unknowingly)
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Diagnosed with Shingles a few days after shot, and symptoms started before the first dose.
Systemic reaction (other): Shingles Diagnosis and showed symptoms before shot.
Systemic reaction (other): Diagnosed with Shingles, symptoms appeared before first dose
Release 6 — day 7, dose 1
Systemic reaction (other): Was diagnosed with Shingles. Symptoms started a few days before the first dose, and diagnosis was 4 days after the first dose.
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 |
|---|---|---|---|---|
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release