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
-
2021-02-08
Dose 1 — Moderna
-
2021-02-09
Registered in v-safe
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2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Still have pain lifting my right arm up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree 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
- 2021-02-12
- 2021-02-13
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-22
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2021-03-01
Survey response — day 21, dose 1MedDRA: 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 professionalFree 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 orthopedistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Myalgia, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree 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
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-12
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-09-06
- 2021-12-30
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Still have pain lifting my right arm up.
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Shoulder injury related to vaccine administration | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release