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2TW-28408-08640

2 vaccinations 4 coded responses 21 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
214 / MD
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-08
    Dose 1 — Moderna
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Still have pain lifting my right arm up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Left shoulder remains painful if I lift my left arm up to the side more than 90 degrees. But that is an improvement over yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Diarrhea
    Adult check-in
  8. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  9. 2021-02-15
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-01
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Mobility decreased, Office visit, Self-medication, Shoulder injury related to vaccine administration, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: My initial left shoulder pain was gone by 6th day. Two days later, sharp pain at front of left shoulder joint. 5 days later, went to orthopedist - diagnosis was SIRVA. Pain receding - taking ibuprofen. Hopefully full mobility soon. 3 weeks post va · Healthcare visit (other): Made appointment with orthopedist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-01
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-08
    Dose 2 — Moderna
  14. 2021-03-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-03-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  17. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Myalgia, Pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Muscle pain just in my right shoulder when I try to raise my arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  20. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-30
  26. 2022-03-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-08Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Still have pain lifting my right arm up.

2021-02-11

Systemic reaction (other): Left shoulder remains painful if I lift my left arm up to the side more than 90 degrees. But that is an improvement over yesterday.

Release 4 — day 21, dose 1

2021-03-01

Symptoms: My initial left shoulder pain was gone by 6th day. Two days later, sharp pain at front of left shoulder joint. 5 days later, went to orthopedist - diagnosis was SIRVA. Pain receding - taking ibuprofen. Hopefully full mobility soon. 3 weeks post va cut off by CDC
Healthcare visit (other): Made appointment with orthopedist

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Muscle pain just in my right shoulder when I try to raise my arm.

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
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDShoulder injury related to vaccine administration ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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