3N5-69092-19978

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 010 / MA
Registered: 2021-03-21

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-20
Dose 1 — Moderna
2021-03-20
Dose 2 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I cant move the arm i got the injectiln in...and its popping when i try to move it. The nurse put the shot in really high on my shoulder and im worried something is wrong because the pain is so bad when i try to move my shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Joint noise — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness

Free text: My should err joint is still very painful and still cant move it. There is a popping and vlicking when i do move my arm where i got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Office visit, Pain — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still have horrible pain in my shoulder joint when i try to move my arm in any direction · Healthcare visit (other): Went to my primary care dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Mobility decreased — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Still have sjoulder pain..cant move my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Arthritis, Flushing, Headache, Joint swelling, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Inflamation in the joints and intermittent facial flushing headaches and swollen ankles feel andbintermittent heart palpations

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-15
Survey response — day 14, dose 3
MedDRA: Chest discomfort — Feeling: Fair

Free text: Slight tightness in the chest

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-02
Survey response — 3 months, dose 3
MedDRA: Rash, Rash erythematous, Skin warm — Feeling: Fair

Free text: Red hot rash spots on my legs

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Call 1 — Left Voicemail
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-20	Moderna
3	2021-11-01	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): I cant move the arm i got the injectiln in...and its popping when i try to move it. The nurse put the shot in really high on my shoulder and im worried something is wrong because the pain is so bad when i try to move my shoulder

2021-03-22

Systemic reaction (other): My should err joint is still very painful and still cant move it. There is a popping and vlicking when i do move my arm where i got the shot

2021-03-23

Systemic reaction (other): Still have horrible pain in my shoulder joint when i try to move my arm in any direction

Healthcare visit (other): Went to my primary care dr

2021-03-24

Systemic reaction (other): Still have sjoulder pain..cant move my arm

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: Inflamation in the joints and intermittent facial flushing headaches and swollen ankles feel andbintermittent heart palpations

Release 10 — day 14, dose 3

2021-11-15

Symptoms: Slight tightness in the chest

Release 11 — 3 months, dose 3

2022-02-02

Symptoms: Red hot rash spots on my legs

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	Office visit	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Flushing	·	·	✓
SD	Headache	·	·	✓
SD	Joint swelling	·	·	✓
SD	Palpitations	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Skin warm	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Joint noise	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓

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