ZXF-25918-39555

4 vaccinations 14 coded responses 32 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 633 / MO
Registered: 2021-01-31

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

2021-01-28
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Poor · Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Muscle spasm but it could be due to activities other than receiving the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
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)
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes zoster — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shingles symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes zoster — Feeling: Fair · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have been diagnosed with shingles and am now on antiviral and a nerve pain killer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — day 7, dose 1
MedDRA: Herpes zoster, Rash — Feeling: Fair · Headache, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: I have shingles and the rash is spreading.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 14, dose 1
MedDRA: Herpes zoster, Neuralgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Continued shingles and a 30 hour bout of nerve pai on my scalp, unrelated to shingles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 28, dose 1
Feeling: Poor

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still have shingles but the pain is subsiding.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Im fine except for continued shingles pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Continued shingles pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Continued shingles pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Continued shingles pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Fair · Be unable to work

Free text: Shingles pain but it is finally beginning to subside.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Shingles related pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Survey response — day 35, dose 2
MedDRA: Erythema, Pre-existing disease, Skin lesion, Skin weeping — Feeling: Good

Free text: I have suddenly developed two red sores on the tip of my nose. Oozing, irregular shaped red spots. I am continuing to take nerve pain reduction medication into the 9th week of shingles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Office visit, Rash vesicular, Rotator cuff syndrome, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Torn rotator cuff requiring surgery which has nothing to do with Covid shots. However, I wonder about getting shingles within 2 days of the first shot. I continue to have shingles symptoms. · Healthcare visit (other): Dr's visits and surgery were all conducted at the orthopedic group's offices.

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-03-04
Call successful
Participant prefers to complete VAERS report online
2022-04-08
Dose 4 — Moderna
2022-04-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-04-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-15
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-27	Moderna
3	2021-11-01	Moderna	No
4	2022-04-08	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Muscle spasm but it could be due to activities other than receiving the vaccine.

2021-02-02

Systemic reaction (other): Shingles symptoms

2021-02-03

Systemic reaction (other): I have been diagnosed with shingles and am now on antiviral and a nerve pain killer.

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): I have shingles and the rash is spreading.

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Continued shingles and a 30 hour bout of nerve pai on my scalp, unrelated to shingles.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Still have shingles but the pain is subsiding.

2021-03-01

Systemic reaction (other): Im fine except for continued shingles pain.

2021-03-02

Systemic reaction (other): Continued shingles pain.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Continued shingles pain

2021-03-04

Systemic reaction (other): Continued shingles pain

2021-03-05

Systemic reaction (other): Shingles pain but it is finally beginning to subside.

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Shingles related pain

Release 6 — day 35, dose 2

2021-04-03

Symptoms: I have suddenly developed two red sores on the tip of my nose. Oozing, irregular shaped red spots. I am continuing to take nerve pain reduction medication into the 9th week of shingles.

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Torn rotator cuff requiring surgery which has nothing to do with Covid shots. However, I wonder about getting shingles within 2 days of the first shot. I continue to have shingles symptoms.

Healthcare visit (other): Dr's visits and surgery were all conducted at the orthopedic group's offices.

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	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Erythema	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash vesicular	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SD	Skin lesion	✓	✓	✓
SD	Skin weeping	✓	✓	✓
SD	Surgery	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓

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