6DB-62526-58069

4 vaccinations 8 coded responses 21 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 461 / IN
Registered: 2021-02-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-10
Dose 1 — Moderna
2021-02-15
Registered in v-safe
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes zoster, Unevaluable event — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · 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: Systemic reaction (other): I got shingles on the 11th. Dont think it has anything to do with the shot. · Healthcare visit (other): Ct scan as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
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)
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Due to shingles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 1
MedDRA: Herpes zoster — Feeling: Fair · Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: From shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-24
Survey response — day 7, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Good · 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: I got shingles the next day after the 1st vaccination. A day after my second vaccine my side started hurting again for approximately three days but I never broke out the second round. Just FYI!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
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)
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-02
Call 2 — Left Voicemail
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Moderna
Co-administered: Flu
2022-09-23
Survey response — day 0, dose 4
MedDRA: Nerve compression, Neuralgia — Feeling: Poor · Site: Pain · Be unable to work or attend school, 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: Extreme pain from a pinched L5 nerves.

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Report sent to call center — day 0, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-24
Survey response — days 1–6 daily, dose 4
MedDRA: Nerve compression — Feeling: Poor · Site: Pain, Swelling · Be unable to work or attend school, 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: L5 pinched nerve is horrendous!

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-25
Survey response — days 1–6 daily, dose 4
MedDRA: Neuralgia — Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to work or attend school, 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: L5 nerve pain that is horrendous even with medication.

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-26
Call 2 — Left Voicemail
2022-09-26
Call 3 — Left Voicemail
2022-09-26
Call 2 — Left Voicemail
2022-09-26
Call 2 — Left Voicemail
2022-09-26
Call 2 — Left Voicemail
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-25
Survey response — 6 months, dose 4
MedDRA: Pain in extremity, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-25
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-11	Moderna
3	2021-11-15	Moderna	No
4	2022-09-23	Moderna	Flu

Call center

6 call center cases

6 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): I got shingles on the 11th. Dont think it has anything to do with the shot.

Healthcare visit (other): Ct scan as well.

2021-02-16

Systemic reaction (other): Due to shingles.

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): From shingles

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): I got shingles the next day after the 1st vaccination. A day after my second vaccine my side started hurting again for approximately three days but I never broke out the second round. Just FYI!

Release 12 — day 0, dose 4

2022-09-23

Systemic reaction (other): Extreme pain from a pinched L5 nerves.

Release 12 — days 1–6 daily, dose 4

2022-09-24

Systemic reaction (other): L5 pinched nerve is horrendous!

2022-09-25

Systemic reaction (other): L5 nerve pain that is horrendous even with medication.

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	Unevaluable event	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Nerve compression	·	·	✓
SRO	Neuralgia	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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