33F-11204-89694
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 469 / IN
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal pain — Feeling: Fair · Muscle or body achesFree text: A low grade pain around my left shoulder blade the last two evenings for a couple hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-03
Survey response — day 7, dose 1MedDRA: Discomfort, Injection site discomfort, Injection site pain, Injection site swelling, Lymphadenopathy, Musculoskeletal pain, Swelling — Feeling: Fair · Site: Swelling · Chills, Muscle or body achesFree text: Ive had discomfort at night with swelling and full pain around the injection sight on my left arm and around my left shoulder blade. Im thinking maybe swollen lymph nodes could be the cause.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — day 14, dose 1MedDRA: Insomnia, Musculoskeletal pain, Pain in extremity, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain that radiates in my upper left arm, around my shoulder blade, between my shoulder blades, so much so that I cant sleep. Pain begins in the evening. With Tylenol I can sleep. Pain subsides by morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-26
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-07-16
- 2021-08-25
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): A low grade pain around my left shoulder blade the last two evenings for a couple hours.
Release 3 — day 7, dose 1
Systemic reaction (other): Ive had discomfort at night with swelling and full pain around the injection sight on my left arm and around my left shoulder blade. Im thinking maybe swollen lymph nodes could be the cause.
Release 4 — day 14, dose 1
Symptoms: Pain that radiates in my upper left arm, around my shoulder blade, between my shoulder blades, so much so that I cant sleep. Pain begins in the evening. With Tylenol I can sleep. Pain subsides by morning.
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 |
|---|---|---|---|---|
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ○ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release