2M3-20685-90551
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 996 / AK
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-13
- 2021-03-14
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity — Feeling: Good · Site: PainFree text: Pain in arm is greatly diminished but still achy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-22
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, NauseaAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-05-08
Survey response — day 28, dose 2MedDRA: Arthritis, Physiotherapy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Left Shoulder arthritis has become excruciating since 2nd shot vaccine but right shoulder (received both shots) has improved slughtly. · Healthcare visit (other): Physical Therapy and visit to Orthopedic Surgeon Clinic to schedule IR shoulder injections.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-10
-
2021-10-09
Survey response — 6 months, dose 2MedDRA: Arthralgia, Osteoarthritis, Pre-existing disease, Shoulder arthroplasty, Weight decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain worse Osteoarthritis both shoulders: first Total Shoulder Replacement (TSR) left shoulder 10/19/2021 and when that has healed will do TSR on right ASAP. I've also lost 30 pounds since April 1, 2021 - first time under 300 pounds in 2 years!MedDRA releases: 2024-11 · check-in free text available
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2022-04-10
Survey response — 12 months, dose 2MedDRA: Pre-existing disease, Umbilical hernia, Weight decreased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Umbilical Hernia has grown quickly & needs surgery before I can get my right shoulder replaced. 5.5 months post-op on left shoulder replacement and very good ROM. Continuing to lose weight.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in arm is greatly diminished but still achy.
Release 8 — day 28, dose 2
Symptoms: Left Shoulder arthritis has become excruciating since 2nd shot vaccine but right shoulder (received both shots) has improved slughtly.
Healthcare visit (other): Physical Therapy and visit to Orthopedic Surgeon Clinic to schedule IR shoulder injections.
Release 10 — 6 months, dose 2
Symptoms: Pain worse Osteoarthritis both shoulders: first Total Shoulder Replacement (TSR) left shoulder 10/19/2021 and when that has healed will do TSR on right ASAP. I've also lost 30 pounds since April 1, 2021 - first time under 300 pounds in 2 years!
Release 11 — 12 months, dose 2
Symptoms: Umbilical Hernia has grown quickly & needs surgery before I can get my right shoulder replaced. 5.5 months post-op on left shoulder replacement and very good ROM. Continuing to lose weight.
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Osteoarthritis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Shoulder arthroplasty | · | · | ✓ |
| SD | Umbilical hernia | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release