36H-20232-11836
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 814 / CO
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Cervical spinal stenosis — Feeling: Good · Site: PainFree text: During the night I had a sharp pain that woke me. It was a jolting pain in the cervical spine, shooting up to the base of brain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: FairFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: After receiving 2nd shot (Left arm), Im noticing my first injection site (right arm) has become very sore in the rotator cuff area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Joint pain specific to right clavicle. Pain has progressively increased since first injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
-
2021-03-29
Survey response — day 14, dose 2MedDRA: Discomfort, Injection site pain, Musculoskeletal stiffness, Pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain in injection shot area has worsened. Whole shoulder area stiff, shooting pain down arm, constant discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-03
Survey response — day 21, dose 2MedDRA: Injection site pain, Muscle spasms, Neck pain, Pain, Pain in extremity, Paraesthesia, Tension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Localized pain at injection site of first vaccine (right arm). Pain and tension moved up right arm and to neck, as well as, down to elbow. Fingers on right arm have tingling sensation. Right arm has muscle spasms at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-06-10
Call successfulParticipant prefers to complete VAERS report online
-
2021-06-10
Call successfulParticipant prefers to complete VAERS report online
- 2021-06-12
- 2021-09-13
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): During the night I had a sharp pain that woke me. It was a jolting pain in the cervical spine, shooting up to the base of brain.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog
Systemic reaction (other): After receiving 2nd shot (Left arm), Im noticing my first injection site (right arm) has become very sore in the rotator cuff area.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Joint pain specific to right clavicle. Pain has progressively increased since first injection.
Release 6 — day 14, dose 2
Symptoms: Pain in injection shot area has worsened. Whole shoulder area stiff, shooting pain down arm, constant discomfort.
Release 6 — day 21, dose 2
Symptoms: Localized pain at injection site of first vaccine (right arm). Pain and tension moved up right arm and to neck, as well as, down to elbow. Fingers on right arm have tingling sensation. Right arm has muscle spasms at times.
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 | Discomfort | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Tension | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cervical spinal stenosis | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release