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
-
2021-01-15
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Bursitis, Pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Arthropathy, Asthenia, Fatigue, Headache, Limb discomfort, Mobility decreased, Musculoskeletal discomfort — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree 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
-
2021-01-24
Survey response — day 7, dose 1MedDRA: Musculoskeletal discomfort — Feeling: Good · Muscle or body achesFree text: Still very slight shoulder discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-07
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Rotator cuff syndrome — Feeling: GoodFree 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 injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
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.
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
Systemic reaction (other): Still very slight shoulder discomfort
Release 4 — days 1–6 daily, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthropathy | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Bursitis | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rotator cuff syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release