5ZA-29555-08430
4 vaccinations
10 coded responses
52 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 051 / VT
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Good · Muscle or body achesFree text: My neck is what achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness, Neck pain, Pain — Feeling: Fair · Headache, Muscle or body achesFree text: Neck aches and feels tight and hurts when I turn my headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Fair · Muscle or body achesFree text: Neck still achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: I have been having some digestive problems and heartburn before the shot, and will be getting some tests but not connected to Covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia, Gastrointestinal disorder, Pre-existing disease — Feeling: FairFree text: Heartburn, digestive issues. Not connected to Covid and will be having an endoscopy soon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-06-29
Survey response — 3 months, dose 2MedDRA: Barrett's oesophagus, Gastrooesophageal reflux disease, Hiatus hernia — Feeling: GoodFree text: Diagnosed with Hiatal hernia, GERD, and Barretts EsophagusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-28
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Barrett's oesophagus, Gastrooesophageal reflux disease, Hiatus hernia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I have recently been diagnosed with hiatal hernia, GERD, Barrett's EsophagusMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-10-31
-
2021-11-03
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: I missed check in yesterday. I was having a colonoscopy and endoscopy. No Covid shot problems.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-17
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-15
Dose 4 — Moderna
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature increased, Pain in extremity — Feeling: GoodFree text: My arm hurt the first 3 days. I had a low grade temp day of shot. I did not report on symptoms until todayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
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2022-04-29
Survey response — day 14, dose 4MedDRA: Pain, Pain in extremity, Tenderness — Feeling: GoodFree text: My right arm is hurting. It is hurting when I lift it up to reach for something. The pain goes down my arm. It hurts when I push on the the area where it meets my shoulder blade. I do not know if I have stained it some how or if it is from my boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-13
- 2022-05-20
- 2022-05-28
- 2022-07-16
- 2022-10-14
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My neck is what aches
Systemic reaction (other): Neck aches and feels tight and hurts when I turn my head
Systemic reaction (other): Neck still aches
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I have been having some digestive problems and heartburn before the shot, and will be getting some tests but not connected to Covid.
Systemic reaction (other): Heartburn, digestive issues. Not connected to Covid and will be having an endoscopy soon.
Release 9 — 3 months, dose 2
Symptoms: Diagnosed with Hiatal hernia, GERD, and Barretts Esophagus
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have recently been diagnosed with hiatal hernia, GERD, Barrett's Esophagus
Release 10 — day 7, dose 3
Systemic reaction (other): I missed check in yesterday. I was having a colonoscopy and endoscopy. No Covid shot problems.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): My arm hurt the first 3 days. I had a low grade temp day of shot. I did not report on symptoms until today
Release 11 — day 14, dose 4
Symptoms: My right arm is hurting. It is hurting when I lift it up to reach for something. The pain goes down my arm. It hurts when I push on the the area where it meets my shoulder blade. I do not know if I have stained it some how or if it is from my booster cut off by CDC
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 | Barrett's oesophagus | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Hiatus hernia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Barrett's oesophagus | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | · | · | ✓ |
| SRO | Hiatus hernia | · | · | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release