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2QP-11054-58618

4 vaccinations 8 coded responses 29 check-ins 8 free-text entries 3 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
027 / MA
Registered
2021-05-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-11
    Dose 1 — Moderna
  2. 2021-05-09
    Registered in v-safe
  3. 2021-05-09
    Dose 2 — Moderna
  4. 2021-05-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Pain, Redness
    Free text: Below injection site is red and hot to the touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  8. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  9. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-20
    Survey response — day 42, dose 2
    MedDRA: Arthralgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: My right shoulder hurts a lot, cant really use it. Pain is high. Maybe rotator cuff.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-20
    Report sent to call center — day 42, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  18. 2021-06-29
  19. 2021-08-08
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Pain in extremity, Rotator cuff syndrome — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: My shoulder and now entire arm hurts bad, torn rotator cuff plus other things. Had a cortisone shot but didnt help. Need an MRI
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-08
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  21. 2021-11-03
  22. 2021-11-07
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Rotator cuff syndrome, Shoulder operation, Surgery, Tendon rupture — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Symptoms: Had to have shoulder surgery on the shoulder I got the Covid vaccine. Torn bicep, two rotator cuff tears, etc. My should didn't hurt until I got the 2nd shot. 5 months later I had this surgery. I'm too scared to get the booster in my other arm. · Healthcare visit (other): Day surgery
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-07
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  24. 2021-11-09
  25. 2022-05-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-11-07
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  27. 2022-11-08
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  28. 2022-11-08
    Survey response — day 0, dose 4
    MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Both my shoulders hurt where I got the shots
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-11-09
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Headache
    Free text: Swollen armpits and big painful glands at neck and collarbone
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-11-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2022-11-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-11-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-11-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-11-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-11-29
    Survey response — day 21, dose 4
    MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Chest congestion, cough, fever
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-12-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-12-13
    Survey response — day 35, dose 4
    MedDRA: Abdominal pain upper, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Stomach pain, vomit, fever
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-12-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  39. 2023-02-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2023-05-09
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-11Moderna
22021-05-09Moderna
32022-11-07Pfizer-BioNTech Flu
42022-11-08Pfizer-BioNTech Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Below injection site is red and hot to the touch.

Release 9 — day 42, dose 2

2021-06-20

Symptoms: My right shoulder hurts a lot, cant really use it. Pain is high. Maybe rotator cuff.

Release 9 — 3 months, dose 2

2021-08-08

Symptoms: My shoulder and now entire arm hurts bad, torn rotator cuff plus other things. Had a cortisone shot but didnt help. Need an MRI

Release 10 — 6 months, dose 2

2021-11-07

Symptoms: Had to have shoulder surgery on the shoulder I got the Covid vaccine. Torn bicep, two rotator cuff tears, etc. My should didn't hurt until I got the 2nd shot. 5 months later I had this surgery. I'm too scared to get the booster in my other arm.
Healthcare visit (other): Day surgery

Release 12 — day 0, dose 4

2022-11-08

Systemic reaction (other): Both my shoulders hurt where I got the shots

Release 12 — days 1–6 daily, dose 4

2022-11-09

Systemic reaction (other): Swollen armpits and big painful glands at neck and collarbone

Release 12 — day 21, dose 4

2022-11-29

Symptoms: Chest congestion, cough, fever

Release 12 — day 35, dose 4

2022-12-13

Symptoms: Stomach pain, vomit, fever

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

FieldPreferred term2021-092023-042024-11
HCVOSurgery · · ✓
SDAbdominal pain upper · · ✓
SDArthralgia ✓ ✓ ✓
SDCough · · ✓
SDPain in extremity ✓ · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRotator cuff syndrome ✓ · ✓
SDShoulder operation · · ✓
SDTendon rupture · · ✓
SDVomiting · · ✓
SROArthralgia · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓

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