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3JG-47777-98185

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 3 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
980 / WA
Registered
2020-12-27
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-26
    Dose 1 — Moderna
  2. 2020-12-27
    Registered in v-safe
  3. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Good
    Free text: Mild cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-20
    Dose 2 — Moderna
  12. 2021-01-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-03
    Survey response — day 14, dose 2
    MedDRA: Mobility decreased, Pain in extremity — Feeling: Good
    Free text: Full arm pain. Limited range of motion. Happened since injection on 1/20/21. Didnt realize it could be a reaction till now. Getting better but still painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-10
    Survey response — day 21, dose 2
    MedDRA: Joint range of motion decreased, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe pain and very limited range of motion in arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-10
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-02-17
    Survey response — day 28, dose 2
    MedDRA: Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Pain increased. Had to go to doctor and was given steroids. Five day taper of methylprednisone. · Healthcare visit (other): Primary care physician and referral to sports medicine and physical therapy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-17
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-02-26
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Shoulder pain worsened · Healthcare visit (other): Visit with orthopedic doctor and cortisone injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-26
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-20
  23. 2021-07-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-20Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Mild cough

Release 3 — day 14, dose 2

2021-02-03

Symptoms: Full arm pain. Limited range of motion. Happened since injection on 1/20/21. Didnt realize it could be a reaction till now. Getting better but still painful.

Release 4 — day 21, dose 2

2021-02-10

Symptoms: Severe pain and very limited range of motion in arm.

Release 4 — day 28, dose 2

2021-02-17

Symptoms: Pain increased. Had to go to doctor and was given steroids. Five day taper of methylprednisone.
Healthcare visit (other): Primary care physician and referral to sports medicine and physical therapy

Release 4 — day 35, dose 2

2021-02-26

Symptoms: Shoulder pain worsened
Healthcare visit (other): Visit with orthopedic doctor and cortisone 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
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDJoint range of motion decreased ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROCough ✓ ✓ ✓

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

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