2N9-15213-74470
3 vaccinations
2 coded responses
20 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 875 / NM
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
-
2020-12-26
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injected limb mobility decreased, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: 5 hours after the injection into my right arm - I had severe pain in my upper arm & shoulder. It appeared to me the injection had been administered too high in the arm. I could not lift my right arm from 630pm 23 December to the evening of 25 December. I as using a heating pad & simple arm stretching to try prevent my arm from freezing into place. Thankfully I was able to regain movement but still experience some soreness/achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-26
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2020-12-29
-
2020-12-30
Survey response — day 7, dose 1MedDRA: Injection site pain, Sensitivity to weather change — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cold environment has caused my right arm to be painful at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-06
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-09-28
Dose 3 — Moderna
- 2021-10-24
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-28
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-09-28 | Moderna | No |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): 5 hours after the injection into my right arm - I had severe pain in my upper arm & shoulder. It appeared to me the injection had been administered too high in the arm. I could not lift my right arm from 630pm 23 December to the evening of 25 December. I as using a heating pad & simple arm stretching to try prevent my arm from freezing into place. Thankfully I was able to regain movement but still experience some soreness/achy
Release 1 — day 7, dose 1
Systemic reaction (other): Cold environment has caused my right arm to be painful at injection site
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site movement impairment | ○ | ○ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sensitivity to weather change | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release