224-97584-78851

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 600 / IL
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Survey response — day 0, dose 1
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains

Free text: Joint wrist pain ONLY in right arm of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Survey response — day 21, dose 1
MedDRA: Pain, Pain in extremity — Feeling: Good

Free text: My right arm where my 1st Covid shot was given has started hurting again. Raising my arm hurts the most. Feels like I received my shot today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Forgot to mention right arm pit pain. Started last Tuesday I believe.

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: Axillary pain — Feeling: Good · Site: Pain

Free text: Right arm pit pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Right arm pit 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: Good

Adult check-in
2021-03-20
Survey response — day 21, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair

Free text: Right arm still hurts from 1st shot, 02-27-21. Doesnt hurt to the touch. Hurts to the point where it bothers me to raise my arm. Constantly. Never ends.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 28, dose 2
MedDRA: Limb discomfort — Feeling: Fair

Free text: Right arm where I received the shots are still bothering me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 35, dose 2
MedDRA: Myalgia, Pain — Feeling: Fair

Free text: Right armstill bothers me to raise my arm above head. I can do it but the muscle hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Right arm pain from 1st Covid shot, nothing has changed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair

Free text: From my initial shot in January my right arm still hurts. Can raise my arm but it hurts to do so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Hypoaesthesia, Injected limb mobility decreased, Office visit, Pain, Physiotherapy, Product administered at inappropriate site — Feeling: Poor · Be unable to do your normal daily activities

Free text: Difficult to use right arm. 2 Drs, 8 physical therapy sessions, numbness off/on in hand. Shot (not the vaccine itself) was given too high up in the arm. I now need cortisone. A lot of pain. Cant use arm a lot of the time like I used to. Now what?

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Injected limb mobility decreased, Loss of personal independence in daily activities, Pain, Pain in extremity, Physiotherapy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Initial shot of 01-30-21 right arm is painful. No full motion. Physical therapy for weeks, exercises, just had a cortisone shot to elevate pain which isn't working. Can't carry my grandkids, passion of cooking has lessened due to arm pain. Call me · Healthcare visit (other): Physical therapy, cortisone

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-01
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-30

Systemic reaction (other): Joint wrist pain ONLY in right arm of injection

Release 4 — day 21, dose 1

2021-02-20

Symptoms: My right arm where my 1st Covid shot was given has started hurting again. Raising my arm hurts the most. Feels like I received my shot today.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Forgot to mention right arm pit pain. Started last Tuesday I believe.

2021-03-05

Systemic reaction (other): Right arm pit pain

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Right arm pit pain

Release 6 — day 21, dose 2

2021-03-20

Symptoms: Right arm still hurts from 1st shot, 02-27-21. Doesnt hurt to the touch. Hurts to the point where it bothers me to raise my arm. Constantly. Never ends.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Right arm where I received the shots are still bothering me.

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Right armstill bothers me to raise my arm above head. I can do it but the muscle hurts.

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Right arm pain from 1st Covid shot, nothing has changed

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: From my initial shot in January my right arm still hurts. Can raise my arm but it hurts to do so.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Difficult to use right arm. 2 Drs, 8 physical therapy sessions, numbness off/on in hand. Shot (not the vaccine itself) was given too high up in the arm. I now need cortisone. A lot of pain. Cant use arm a lot of the time like I used to. Now what?

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Initial shot of 01-30-21 right arm is painful. No full motion. Physical therapy for weeks, exercises, just had a cortisone shot to elevate pain which isn't working. Can't carry my grandkids, passion of cooking has lessened due to arm pain. Call me

Healthcare visit (other): Physical therapy, cortisone

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	Physiotherapy	·	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Injected limb mobility decreased	✓	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Physiotherapy	✓	·	✓
SD	Product administered at inappropriate site	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓

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