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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

  1. 2021-01-25
    Registered in v-safe
  2. 2021-01-25
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nausea, Nervousness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Free text: Stomach a bit quest; nervous feeling,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-25
    Dose 2 — Moderna
  10. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Hyperhidrosis, Neck pain — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Shoulder and neck pain; more on left side, Sweaty maybe hot flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Body temperature, Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free 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
  13. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Headache, Neck pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: Neck and shoulder pain, slight headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-25
    Survey response — day 28, dose 2
    MedDRA: Injected limb mobility decreased, Pain in extremity — Feeling: Fair
    Free text: Arm pain still. Hard to lift arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-27
    Survey response — 3 months, dose 2
    MedDRA: Muscular weakness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  22. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-25Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Stomach a bit quest; nervous feeling,

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Shoulder and neck pain; more on left side, Sweaty maybe hot flashes

2021-02-28

Systemic reaction (other): Temp is 97.5. Still shoulder and neck stiffness and arm pain.

2021-03-01

Systemic reaction (other): None

2021-03-02

Systemic reaction (other): Neck and shoulder pain, slight headache

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): None

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): No

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Arm pain still. Hard to lift arm.

Release 8 — 3 months, dose 2

2021-05-27

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

FieldPreferred term2021-092023-042024-11
SDInjected limb mobility decreased ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBody temperature ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONervousness ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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