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3MB-32842-20514

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
111 / NY
Registered
2021-01-18
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-18
    Registered in v-safe
  2. 2021-01-18
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: My right arm where the vaccine was put on is in a lot of pain, I can bearly move the arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-01
    Survey response — day 14, dose 1
    MedDRA: Injected limb mobility decreased, Injection site pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My right arm where they put the vaccine, its in a lot of pain. The whole are is now hurting, I cant move my arm anywhere. The spot where the injection was is not hurting, for some reason my whole arm is hurting, cant move it anywhere.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    Survey response — day 21, dose 1
    MedDRA: Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: The arm of where they put the first vaccine its hurting as if I have a fracture. Im in a lot of pain, cant raise my arm, cant move my arm without PAIN!!!!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-15
    Survey response — day 28, dose 1
    MedDRA: Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My right arm still hurts me a lot when I move my arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-16
    Dose 2 — Moderna
  11. 2021-02-16
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  12. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: My left arm where I got my shot, its sore and it hurts to move it or raise my arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-16Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): My right arm where the vaccine was put on is in a lot of pain, I can bearly move the arm.

Release 3 — day 14, dose 1

2021-02-01

Symptoms: My right arm where they put the vaccine, its in a lot of pain. The whole are is now hurting, I cant move my arm anywhere. The spot where the injection was is not hurting, for some reason my whole arm is hurting, cant move it anywhere.

Release 3 — day 21, dose 1

2021-02-09

Symptoms: The arm of where they put the first vaccine its hurting as if I have a fracture. Im in a lot of pain, cant raise my arm, cant move my arm without PAIN!!!!!

Release 4 — day 28, dose 1

2021-02-15

Symptoms: My right arm still hurts me a lot when I move my arm

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): My left arm where I got my shot, its sore and it hurts to move it or raise my arm

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
SDInjected limb mobility decreased ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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