3AT-17842-91427

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 103 / NY
Registered: 2021-05-20

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-05-20
Registered in v-safe
2021-05-20
Dose 1 — Moderna
2021-05-20
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Mobility decreased — Feeling: Good · Site: Pain

Free text: The injection site is sore and it is difficult to raise my arm over my head. It started late last night but this evening it's getting better. Other than that I'm fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain

Free text: Just the pain in my arm at the injection site. But I can finally lift my arm over my head even though it still hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good

Free text: There is still a slight ache at the injection site but nothing serious and I have full movement of my arm again as of today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Mobility decreased — Feeling: Good

Free text: It's still a little tender at the injection site, but I have full mobility in my arm now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: So far my arm has full movement, no more pain or aching, and I don't notice any other symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 7, dose 1
MedDRA: Injection site pruritus — Feeling: Good · Site: Itching

Free text: Just a little itching around the injection area. But I can still fully move my arm and no more pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-17
Dose 2 — Moderna
2021-06-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-18
Survey response — days 1–6 daily, dose 2
MedDRA: Injected limb mobility decreased — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: The arm where I was injected is difficult to move. I can't move it over over my head, behind me, or too far in front.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains

Adult check-in
2021-06-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-06-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-06-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-24
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-07-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — day 42, dose 2
MedDRA: Myalgia, Pain — Feeling: Fair

Free text: I still feel muscle aches on my right arm. That's the arm where I got both vaccine doses. I can move the arm, but at times it bothers me a lot.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-16
Survey response — 6 months, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: The arm I got my vaccination in still aches at times.

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-20	Moderna
2	2021-06-17	Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-21

Systemic reaction (other): The injection site is sore and it is difficult to raise my arm over my head. It started late last night but this evening it's getting better. Other than that I'm fine.

2021-05-22

Systemic reaction (other): Just the pain in my arm at the injection site. But I can finally lift my arm over my head even though it still hurts.

2021-05-24

Systemic reaction (other): There is still a slight ache at the injection site but nothing serious and I have full movement of my arm again as of today.

2021-05-25

Systemic reaction (other): It's still a little tender at the injection site, but I have full mobility in my arm now.

2021-05-26

Systemic reaction (other): So far my arm has full movement, no more pain or aching, and I don't notice any other symptoms.

Release 8 — day 7, dose 1

2021-05-27

Systemic reaction (other): Just a little itching around the injection area. But I can still fully move my arm and no more pain.

Release 9 — days 1–6 daily, dose 2

2021-06-18

Systemic reaction (other): The arm where I was injected is difficult to move. I can't move it over over my head, behind me, or too far in front.

Release 9 — day 42, dose 2

2021-07-29

Symptoms: I still feel muscle aches on my right arm. That's the arm where I got both vaccine doses. I can move the arm, but at times it bothers me a lot.

Release 10 — 6 months, dose 2

2021-12-16

Symptoms: The arm I got my vaccination in still aches 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	Myalgia	✓	·	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	·	·	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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