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37U-12907-06181

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
084 / NJ
Registered
2021-01-18
Relationship
Self

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-18
    Registered in v-safe
  3. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Bursitis, Pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had a bursitis type pain in the arm opposite of the vaccination beginning about 6 hours after the injection and worsening overnight until today when it has started to lessen. Had a fever yesterday with the highest point of 100.3.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-18
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthropathy, Asthenia, Fatigue, Headache, Limb discomfort, Mobility decreased, Musculoskeletal discomfort — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Still have some discomfort in my unvaccinated arm. Mobility is almost normal. Still have some neck and back discomfort associated with shoulder. More energy today but a bit fatigued. Subtle headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-24
    Survey response — day 7, dose 1
    MedDRA: Musculoskeletal discomfort — Feeling: Good · Muscle or body aches
    Free text: Still very slight shoulder discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-12
    Dose 2 — Moderna
  10. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  11. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  12. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Rotator cuff syndrome — Feeling: Good
    Free text: I have had joint pains but not sure they are related. I do believe with the first shot it was definitely related. Lasted 3 days and was like rotator cuff on the opposite arm of the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): I had a bursitis type pain in the arm opposite of the vaccination beginning about 6 hours after the injection and worsening overnight until today when it has started to lessen. Had a fever yesterday with the highest point of 100.3.

2021-01-19

Systemic reaction (other): Still have some discomfort in my unvaccinated arm. Mobility is almost normal. Still have some neck and back discomfort associated with shoulder. More energy today but a bit fatigued. Subtle headache.

Release 2 — day 7, dose 1

2021-01-24

Systemic reaction (other): Still very slight shoulder discomfort

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): I have had joint pains but not sure they are related. I do believe with the first shot it was definitely related. Lasted 3 days and was like rotator cuff on the opposite arm of the injection

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
SROArthralgia ✓ ✓ ✓
SROArthropathy ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBursitis ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROMusculoskeletal discomfort ✓ ✓ ✓
SROPain ✓ ✓ ✓
SRORotator cuff syndrome ✓ ✓ ✓

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