5DR-11304-13462
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 056 / VT
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
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2021-03-18
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 21, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: FairFree text: Worsening pain in left shoulder, (pain/ache previously only occasional and mild due to unrelated shoulder injuries in past). Also left and right upper arm aches. Assumed in late March and early April it was due to overuse as grocery cashier.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Dose 2 — Moderna
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2021-04-15
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Left hand tingling slightly in last 30 minutes.. Got shot 4 hours ago on left side like first oneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-22
- 2021-04-30
- 2021-05-06
- 2021-05-13
- 2021-05-21
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2021-05-27
Survey response — day 42, dose 2MedDRA: Arthralgia, Cough, Muscle twitching — Feeling: FairFree text: Many achy joints, shifting abdominal twinges, dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: Bad summer cold that is lingering....hacking.cough, runny noseMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-15
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 7 — day 21, dose 1
Symptoms: Worsening pain in left shoulder, (pain/ache previously only occasional and mild due to unrelated shoulder injuries in past). Also left and right upper arm aches. Assumed in late March and early April it was due to overuse as grocery cashier.
Release 7 — day 0, dose 2
Systemic reaction (other): Left hand tingling slightly in last 30 minutes.. Got shot 4 hours ago on left side like first one
Release 8 — day 42, dose 2
Symptoms: Many achy joints, shifting abdominal twinges, dry cough
Release 9 — 3 months, dose 2
Symptoms: Bad summer cold that is lingering....hacking.cough, runny nose
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release