ZNE-86566-68666

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 770 / TX
Registered: 2021-02-10

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

2021-02-01
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Survey response — day 14, dose 1
MedDRA: Back pain, Herpes zoster, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My back pain transition to just the right side of my lower back and I developed a rash around my midsection. I contact my Dr and I have been diagnosed with Shingles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 14, 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)
2021-02-22
Survey response — day 21, dose 1
MedDRA: Herpes zoster — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain from shingles (which started 4 days after COVID Vaccine) has increased. Had to increase my Gabapentin dose to 1800mg per day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Pre-existing disease — Feeling: Poor

Free text: Bad day suffering through PHN from Shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Post herpetic neuralgia — Feeling: Fair

Free text: PHN pain from shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Herpes zoster, Pain, Pre-existing disease — Feeling: Fair

Free text: Pain from PHN due to Shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Pain, Post herpetic neuralgia — Feeling: Poor

Free text: Pain from Shingles PHN

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 2
MedDRA: Herpes zoster, Pain, Post herpetic neuralgia — Feeling: Fair

Free text: Paint from shingles PHN

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Survey response — day 28, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: PHN from shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-04-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-01
Call 1 — Left Voicemail
2021-08-04
Call successful
Participant prefers to complete VAERS report online
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-07
Survey response — 12 months, dose 2
MedDRA: Gout, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Gout flareups

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-08
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-03	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-15	Successful 2021-08-04	Participant prefers to complete VAERS report online
2022-03-07	Successful 2022-03-08	Participant prefers to complete VAERS report online

1 report(s) with no call case — see the timeline.

Free text

Release 4 — day 14, dose 1

2021-02-15

Symptoms: My back pain transition to just the right side of my lower back and I developed a rash around my midsection. I contact my Dr and I have been diagnosed with Shingles.

Release 4 — day 21, dose 1

2021-02-22

Symptoms: Pain from shingles (which started 4 days after COVID Vaccine) has increased. Had to increase my Gabapentin dose to 1800mg per day

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Bad day suffering through PHN from Shingles

2021-03-06

Systemic reaction (other): PHN pain from shingles

2021-03-07

Systemic reaction (other): Pain from PHN due to Shingles

2021-03-09

Systemic reaction (other): Pain from Shingles PHN

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): Paint from shingles PHN

Release 6 — day 28, dose 2

2021-03-31

Symptoms: PHN from shingles

Release 11 — 12 months, dose 2

2022-03-07

Symptoms: Gout flareups

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	Back pain	✓	✓	✓
SD	Gout	·	·	✓
SD	Herpes zoster	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Post herpetic neuralgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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