36R-24577-05126 · OpenVSafe

Timeline

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Couldnt raise my arm yesterdaty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still can only raise hand with pain and cant do throwing motion with arm without pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities

Free text: I have pain in shoulder. I believe I have SIVA.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Joint range of motion decreased, Product administered at inappropriate site — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Still limited motion and pain in shoulder due to shot being given in wrong location

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Pain in the shoulder as shot give too high on arm. Improvement as I could not move my arm the night of my shot. Still pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 7, dose 2
MedDRA: Arthralgia, Injection site pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Pain in shoulder due to nurse injecting vaccine too high in shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in shoulder due to shot in wrong place

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 28, dose 2
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in shoulder due to shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Couldnt raise my arm yesterdaty

2021-05-06

Systemic reaction (other): Still can only raise hand with pain and cant do throwing motion with arm without pain

2021-05-07

Systemic reaction (other): I have pain in shoulder. I believe I have SIVA.

2021-05-09

Systemic reaction (other): Still limited motion and pain in shoulder due to shot being given in wrong location

2021-05-10

Systemic reaction (other): Pain in the shoulder as shot give too high on arm. Improvement as I could not move my arm the night of my shot. Still pain

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): Pain in shoulder due to nurse injecting vaccine too high in shoulder

Release 8 — day 21, dose 2

2021-05-25

Symptoms: Pain in shoulder due to shot in wrong place

Release 8 — day 28, dose 2

2021-06-01

Symptoms: Pain in shoulder due to shot

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	Arthralgia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Product administered at inappropriate site	✓	✓	✓

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