YHN-18388-98057
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 026 / MA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2020-12-29
Registered in v-safe
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Skin lesion — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fluid filled lesions on arm i got injection... dx by my dr as possible shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Abscess limb, Herpes zoster, Injection site pain, Injection site reaction, Pain, Skin lesion — Feeling: Fair · Joint pains, 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: Dx with shingles day after shot. All lesions are on my left arm below injection site.. including palm of my hand. Extremely painful. I did not have any symptoms prior to getting the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Herpes zoster, Pain, Self-medication, Skin lesion, Skin lesion inflammation — Feeling: Good · Rash, not including the immediate area around the injection site · Be unable to workFree text: As reported before... shingles on left arm.. not at site. They continue to be painful, but better than previous days. More lesions came out on palm of hand, front of hand, and fingers.. which are painful. The lesions on the arm are sore, and red. The shooting pain is controlled by continuous motrin 800mg around the clock. Taking valtrex a/oMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster — Feeling: Good · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to workFree text: Cont to experience effects of shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain in extremity, Rash — Feeling: Good · Headache, Joint pains, Rash, not including the immediate area around the injection site · Be unable to workFree text: Cont with rash on left arm and hand. Pain has decreased. Having cont. pain in elbow area and hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster, Pain, Rash — Feeling: Good · Rash, not including the immediate area around the injection site · Be unable to workFree text: Cont. with shingles rash... pain betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
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2021-01-04
Survey response — day 7, dose 1MedDRA: Herpes zoster — Feeling: Good · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to workFree text: ShinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-04
- 2021-01-11
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2021-01-16
Call successfulCompleted over the phone
- 2021-01-18
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2021-01-25
Dose 2 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-03
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-26
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-29 | Successful | |
| 2020-12-30 | Successful | |
| 2020-12-31 | Successful | |
| 2021-01-01 | Successful | |
| 2021-01-02 | Successful | |
| 2021-01-03 | Successful | |
| 2021-01-04 | Successful 2021-01-16 |
Completed over the phone |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Fluid filled lesions on arm i got injection... dx by my dr as possible shingles
Systemic reaction (other): Dx with shingles day after shot. All lesions are on my left arm below injection site.. including palm of my hand. Extremely painful. I did not have any symptoms prior to getting the shot.
Systemic reaction (other): As reported before... shingles on left arm.. not at site. They continue to be painful, but better than previous days. More lesions came out on palm of hand, front of hand, and fingers.. which are painful. The lesions on the arm are sore, and red. The shooting pain is controlled by continuous motrin 800mg around the clock. Taking valtrex a/o
Systemic reaction (other): Cont to experience effects of shingles
Systemic reaction (other): Cont with rash on left arm and hand. Pain has decreased. Having cont. pain in elbow area and hands.
Systemic reaction (other): Cont. with shingles rash... pain better
Release 1 — day 7, dose 1
Systemic reaction (other): Shingles
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 | Abscess limb | ○ | ✓ | ○ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | · | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Injection site abscess | ○ | ○ | ○ |
| SRO | Injection site pain | ○ | ✓ | ○ |
| SRO | Injection site reaction | ✓ | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin lesion | ✓ | ✓ | ✓ |
| SRO | Skin lesion inflammation | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release