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3NG-10758-59003

4 vaccinations 7 coded responses 29 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
554 / MN
Registered
2021-02-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Registered in v-safe
  2. 2021-02-16
    Dose 1 — Moderna
  3. 2021-02-16
    Survey response — day 0, dose 1
    MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains
    Free text: Pain in shoulder joint when moving arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chest pain, Pain — Feeling: Good · Site: Pain · Joint pains
    Free text: Left shoulder joint painfull when lifting arm. Pain front left of upper chest below collar bone area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia — Feeling: Good · Site: Pain
    Free text: Left shoulder pain with movement is greatly diminshed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-16
    Dose 2 — Moderna
  13. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Neck pain — Feeling: Good · Site: Pain, Redness · Headache
    Free text: Left shoulder joint and left side of neck pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: When I lift my left arm it's painful around the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pruritus — Feeling: Good · Site: Pain
    Free text: Itchy on left shoulder around injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  21. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-06
    Dose 3 — Moderna
  29. 2022-03-16
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-09-08
    Dose 4 — Pfizer-BioNTech
  31. 2022-10-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-12-08
    Survey response — 3 months, dose 4
    MedDRA: COVID-19, Fatigue — Feeling: Good
    Free text: I've noticed a lingering tiredness / fatigue since I caught COVID 19 a week after my last booster shot. I believe this because of having COVID not the vaccine. Thank you for the vaccine!
    MedDRA releases: 2024-11 · check-in free text available
  34. 2023-03-09
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32022-01-06Moderna No
42022-09-08Pfizer-BioNTech No

Free text

Release 4 — day 0, dose 1

2021-02-16

Systemic reaction (other): Pain in shoulder joint when moving arm

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Left shoulder joint painfull when lifting arm. Pain front left of upper chest below collar bone area.

2021-02-19

Systemic reaction (other): Left shoulder pain with movement is greatly diminshed

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Left shoulder joint and left side of neck pain

2021-03-18

Systemic reaction (other): When I lift my left arm it's painful around the injection site

2021-03-19

Systemic reaction (other): Itchy on left shoulder around injection site

Release 12 — 3 months, dose 4

2022-12-08

Symptoms: I've noticed a lingering tiredness / fatigue since I caught COVID 19 a week after my last booster shot. I believe this because of having COVID not the vaccine. Thank you for the vaccine!

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
SDCOVID-19 · · ✓
SDFatigue · · ✓
SROArthralgia ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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