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2ZG-21099-48558

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
744 / OK
Registered
2021-04-02
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Dose 2 — Moderna
  4. 2021-04-02
    Survey response — day 0, dose 2
    MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: SOB anxiety hypertension
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain in shoulder going up to my neck, these are the same symptoms I experienced with the first vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Area around my injection is warm and red
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  10. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  11. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  12. 2021-04-16
    Survey response — day 14, dose 2
    MedDRA: Breast pain — Feeling: Fair
    Free text: I am having pain behind my right breast opposite of the arm I have taken my shot in. It happens when I lie for bed. I first noticed this Monday night and it has happened every night since.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-23
    Survey response — day 21, dose 2
    MedDRA: Breast pain, Self-medication — Feeling: Fair
    Free text: I am have been experiencing this pain behind my right breast. It comes and go. It's a sharpe pain that linger for about 2 to 3 min, I will take pain meds, gasx, and a aspirin and it goes away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-30
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Neck pain — Feeling: Fair
    Free text: Always this pain in the left side of my shoulder and neck. That began with the very first covid vaccination and still it continues weeks afterward the second vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea, Neck pain — Feeling: Fair
    Free text: SOB still have the pain in left side of neckP0pl,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-10-01
    Survey response — 6 months, dose 2
    MedDRA: Breast pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I am experiencing extreme pain in my left arm and breast.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-02
    Survey response — 12 months, dose 2
    MedDRA: Hypertension, Neck pain, Pain, Pain in extremity, Peripheral coldness, Skin discolouration, Stress — Feeling: Poor · 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: I'm still having pain on my left side from my neck to my finger tips Every since the 2nd dose of Covid vaccinations I've experienced these issues I'm now having to take medications for HBP my hands are always cold till they turn purple cause mestress
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-02
    Report sent to call center — 12 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 · 1 call case(s)
  21. 2022-04-12
  22. 2022-04-15

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-02Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): SOB anxiety hypertension

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Pain in shoulder going up to my neck, these are the same symptoms I experienced with the first vaccination

2021-04-05

Systemic reaction (other): Area around my injection is warm and red

Release 7 — day 14, dose 2

2021-04-16

Symptoms: I am having pain behind my right breast opposite of the arm I have taken my shot in. It happens when I lie for bed. I first noticed this Monday night and it has happened every night since.

Release 7 — day 21, dose 2

2021-04-23

Symptoms: I am have been experiencing this pain behind my right breast. It comes and go. It's a sharpe pain that linger for about 2 to 3 min, I will take pain meds, gasx, and a aspirin and it goes away.

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Always this pain in the left side of my shoulder and neck. That began with the very first covid vaccination and still it continues weeks afterward the second vaccination.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: SOB still have the pain in left side of neckP0pl,

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: I am experiencing extreme pain in my left arm and breast.

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: I'm still having pain on my left side from my neck to my finger tips Every since the 2nd dose of Covid vaccinations I've experienced these issues I'm now having to take medications for HBP my hands are always cold till they turn purple cause mestress cut off by CDC

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
SDArthralgia ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDHypertension · · ✓
SDNeck pain ✓ ✓ ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDPeripheral coldness · · ✓
SDSelf-medication ✓ ✓ ✓
SDSkin discolouration · · ✓
SDStress · · ✓
SROArthralgia ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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