5EN-21455-31057
5 vaccinations
7 coded responses
36 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 347 / FL
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
- 2021-01-13
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-03-12
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Hip pain, started about two weeks ago, a friend said I should report it, it just might be something. Have drs appt on the 28thMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Herpes zoster, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shingles · Healthcare visit (other): My primary doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
-
2021-09-24
Dose 3 — Moderna
- 2021-10-24
- 2021-10-29
- 2021-11-05
- 2021-12-24
-
2022-03-25
Survey response — 6 months, dose 3MedDRA: Herpes zoster, Pain — Feeling: GoodFree text: Still experiencing shingles painMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Dose 4 — Moderna
- 2022-04-22
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
-
2022-05-12
Survey response — day 21, dose 4MedDRA: Arthritis, Condition aggravated, Dry mouth, Pre-existing disease — Feeling: GoodFree text: Since the booster, I've noticed that the shingles pain has come back, also some of the Sjogrens symptoms. My mouth is much drier, and the arthritis is really flaring.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
Survey response — day 28, dose 4MedDRA: Herpes zoster, Infection, Pain — Feeling: GoodFree text: Still having breakthrough shingles painMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
- 2022-07-21
-
2022-09-24
Dose 5 — Moderna
-
2022-10-07
Survey response — day 7, dose 5MedDRA: Herpes zoster, Pain — Feeling: Good · Joint painsFree text: Still having shingles pain on and offMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
-
2022-12-24
Health check-in — 3 months, dose 5Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covid, mild case. Still have Shingles painAdult check-in · check-in free text available
- 2022-12-24
- 2022-12-27
- 2022-12-27
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-09-24 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-24 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 42, dose 2
Symptoms: Hip pain, started about two weeks ago, a friend said I should report it, it just might be something. Have drs appt on the 28th
Release 9 — 6 months, dose 2
Release 11 — 6 months, dose 3
Symptoms: Still experiencing shingles pain
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No
Release 11 — day 21, dose 4
Symptoms: Since the booster, I've noticed that the shingles pain has come back, also some of the Sjogrens symptoms. My mouth is much drier, and the arthritis is really flaring.
Release 11 — day 28, dose 4
Symptoms: Still having breakthrough shingles pain
Release 12 — day 7, dose 5
Systemic reaction (other): Still having shingles pain on and off
Release 12 — 3 months, dose 5
Symptoms: Covid, mild case. Still have Shingles pain
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 | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Herpes zoster | ✓ | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Herpes zoster | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release