3NN-10364-56789
2 vaccinations
9 coded responses
19 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 233 / VA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
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2021-01-25
Dose 1 — Moderna
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Nausea, Nervousness — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Stomach a bit quest; nervous feeling,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
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2021-02-25
Dose 2 — Moderna
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Hyperhidrosis, Neck pain — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Shoulder and neck pain; more on left side, Sweaty maybe hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Body temperature, Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Temp is 97.5. Still shoulder and neck stiffness and arm pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Neck pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Neck and shoulder pain, slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body achesFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body achesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
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2021-03-25
Survey response — day 28, dose 2MedDRA: Injected limb mobility decreased, Pain in extremity — Feeling: FairFree text: Arm pain still. Hard to lift arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-05-27
Survey response — 3 months, dose 2MedDRA: Muscular weakness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My left arm still gets pain where I took the shot. A dull pain shoots through it at times. My arm feels weak. I cant raise it normally. I also feel it in my neck on the same side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Stomach a bit quest; nervous feeling,
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Shoulder and neck pain; more on left side, Sweaty maybe hot flashes
Systemic reaction (other): Temp is 97.5. Still shoulder and neck stiffness and arm pain.
Systemic reaction (other): None
Systemic reaction (other): Neck and shoulder pain, slight headache
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): None
Release 5 — day 7, dose 2
Systemic reaction (other): No
Release 6 — day 28, dose 2
Symptoms: Arm pain still. Hard to lift arm.
Release 8 — 3 months, dose 2
Symptoms: My left arm still gets pain where I took the shot. A dull pain shoots through it at times. My arm feels weak. I cant raise it normally. I also feel it in my neck on the same side.
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 |
|---|---|---|---|---|
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Body temperature | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release