336-20460-97466

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 142 / NY
Registered: 2021-03-09

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-05
Dose 1 — Moderna
2021-03-09
Registered in v-safe
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Hypoaesthesia, Injected limb mobility decreased, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: I had sever on fire pain in my arm. Could not move my arm or bend since the shot. My arm went numb and tingled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Limb immobilisation, Pain in extremity — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Arm still kills hurts to move and hurts to the touch. Still tired and cant bend

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Inflammation, Middle insomnia, Pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Diarrhea

Free text: Woke up with pain last night, still feels like a bad sunburn. On fire at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 1
MedDRA: Burning sensation, Headache — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Still feels like a sun burn and headache since the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 14, dose 1
MedDRA: Impaired work ability, Office visit, Pain in extremity, Self-medication, Sleep disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: My arm still kills!!Cant feel my arm after I go to work. I simply want a amputation to this arm. Went to my dr, now given pains meds,have to start PT for this arm, and nerve therapy and cant sleep due to pain. Have to take 2x Benadryl@night · Healthcare visit (other): Drs office. Decided to save money and not go to the er

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Survey response — day 0, dose 2
MedDRA: Head discomfort, Migraine, Toothache — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My teeth hurt, worst migraine and pressure in my brain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain in extremity, Physiotherapy, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My arm still hurts from the first shot. It will go completely tired. Scheduled P.T. for the left arm · Healthcare visit (other): P.T.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 7, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Still having pain from first shot and scheduled pt for next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Joint noise, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in the top of my shoulder like a fire, snapping when I go to lift or carry. It happened the day of the injection and comes on more frequently now · Healthcare visit (other): Went for PT

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): I had sever on fire pain in my arm. Could not move my arm or bend since the shot. My arm went numb and tingled

2021-03-10

Systemic reaction (other): Arm still kills hurts to move and hurts to the touch. Still tired and cant bend

2021-03-11

Systemic reaction (other): Woke up with pain last night, still feels like a bad sunburn. On fire at times

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Still feels like a sun burn and headache since the shot

Release 5 — day 14, dose 1

2021-03-19

Symptoms: My arm still kills!!Cant feel my arm after I go to work. I simply want a amputation to this arm. Went to my dr, now given pains meds,have to start PT for this arm, and nerve therapy and cant sleep due to pain. Have to take 2x Benadryl@night

Healthcare visit (other): Drs office. Decided to save money and not go to the er

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): My teeth hurt, worst migraine and pressure in my brain.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): My arm still hurts from the first shot. It will go completely tired. Scheduled P.T. for the left arm

Healthcare visit (other): P.T.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Still having pain from first shot and scheduled pt for next week

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: Pain in the top of my shoulder like a fire, snapping when I go to lift or carry. It happened the day of the injection and comes on more frequently now

Healthcare visit (other): Went for PT

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	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Joint noise	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Limb immobilisation	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Physiotherapy	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Toothache	✓	✓	✓

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