MQ9-24117-81451
4 vaccinations
3 coded responses
46 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 060 / CT
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2021-12-03
Dose 3 — Moderna
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
- 2022-06-03
-
2022-10-03
Dose 4 — ModernaCo-administered: Flu
-
2022-10-09
Survey response — days 1–6 daily, dose 4MedDRA: Herpes zoster — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, 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: I developed shingles 2 days after my vaccinations covering the arm that I got the Covid vaccine in.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-11
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-10-12
Survey response — day 7, dose 4MedDRA: Herpes zoster — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I have shingles on the arm I received my Covid booster inMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
-
2022-11-14
Survey response — day 42, dose 4MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have RSV.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-10-03 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I developed shingles 2 days after my vaccinations covering the arm that I got the Covid vaccine in.
Release 12 — day 7, dose 4
Systemic reaction (other): I have shingles on the arm I received my Covid booster in
Release 12 — day 42, dose 4
Symptoms: I have RSV.
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 |
|---|---|---|---|---|
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Herpes zoster | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release