6P7-30086-73488
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 063 / CT
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Condition aggravated, Herpes zoster — Feeling: GoodFree text: I have cronic shingles in my right eye. I use two medications daiy and it has been fairly calm for the past couple of years. A couple of days ago I had a flare up so I increased my medication.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have chronic shingles in my right eye that is kept under control with medication. This morning I could not initially open my right eye. I have increased my dosage againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Adverse drug reaction, Condition aggravated, Eye discharge, Eye pain, Herpes zoster, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Chronic shingles in right eye continues to be a problem. Have increased treatment, but continues discharge. Drugs now sting when used · Healthcare visit (other): Set up appointment with doctor for 2 weeks after 2nd vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster, Immunisation, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Cronic Shingles in right eye continues to be a problem · Healthcare visit (other): Will have one once the two weeks pass after my 2nd vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Chronic shingles in eye continues with flair up · Healthcare visit (other): Appointment setMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-06
- 2021-03-11
- 2021-03-27
- 2021-07-30
-
2021-08-09
Call successfulCompleted over the phone
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: I have cronic shingles in my right eye. I use two medications daiy and it has been fairly calm for the past couple of years. A couple of days ago I had a flare up so I increased my medication.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have chronic shingles in my right eye that is kept under control with medication. This morning I could not initially open my right eye. I have increased my dosage again
Systemic reaction (other): Chronic shingles in right eye continues to be a problem. Have increased treatment, but continues discharge. Drugs now sting when used
Healthcare visit (other): Set up appointment with doctor for 2 weeks after 2nd vaccination
Systemic reaction (other): Cronic Shingles in right eye continues to be a problem
Healthcare visit (other): Will have one once the two weeks pass after my 2nd vaccine
Systemic reaction (other): Chronic shingles in eye continues with flair up
Healthcare visit (other): Appointment set
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 | Immunisation | ✓ | ✓ | ○ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Adverse drug reaction | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Eye discharge | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release