3L3-17146-53506
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 191 / PA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Energy increased, Pre-existing disease, Therapeutic response unexpected — Feeling: GoodFree text: On my second day after needle I had a lot of energy had less pain in joints which I live with everyday I had a great day have not had another day like it life return to normal which means my normal aches and pain so that was different just thought I mention itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-01
- 2021-04-08
- 2021-04-22
-
2021-04-27
Dose 2 — Moderna
-
2021-04-27
Survey response — day 0, dose 2MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Got shot in shoulder that is being replace so the pain I have is intensified everything is just a little moreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Everything is very mild I feel if I was to go about my every day routine I would not feel so luckyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-10
- 2021-07-27
- 2021-10-26
-
2022-04-29
Survey response — 12 months, dose 2MedDRA: Shoulder arthroplasty — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Had shoulder replace other wise fine · Healthcare visit (other): Shoulder replacementMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-05-02
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-27 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): On my second day after needle I had a lot of energy had less pain in joints which I live with everyday I had a great day have not had another day like it life return to normal which means my normal aches and pain so that was different just thought I mention it
Release 8 — day 0, dose 2
Systemic reaction (other): Got shot in shoulder that is being replace so the pain I have is intensified everything is just a little more
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Everything is very mild I feel if I was to go about my every day routine I would not feel so lucky
Release 11 — 12 months, dose 2
Symptoms: Had shoulder replace other wise fine
Healthcare visit (other): Shoulder replacement
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 |
|---|---|---|---|---|
| HCVO | Shoulder arthroplasty | · | · | ✓ |
| SD | Shoulder arthroplasty | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release