45Y-27092-54427
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 926 / CA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Movement disorder — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe right shoulder pain. Unable to control right arm movements fully. Unable to life. Injection is left torso though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Mobility decreased, Pain, Swelling — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Same as yesterday. Severe right shoulder pain (even though shot is on left torso with soreness and minor swelling). Due to right shoulder pain, unable to fully control right arm movements and lift anything. Rubbing right shoulder muscles have helped a bit in relieving pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Poor · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Severe right shoulder pain still persists. It prevents full motion of right arm. Lifting of right arm to certain angles produce sharp pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Mobility decreased, Muscular weakness, Myalgia — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Same as yesterday. Severe right shoulder muscles and shoulder joint pain. Do not have full motion control of right arm. No strength in right arm. Can't lift right arm to certain angles. Produce sharp pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-22
Health check-in — day 7, dose 1Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-15
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-15
-
2021-08-28
Dose 3 — Moderna
- 2021-11-27
- 2022-02-28
-
2022-07-17
Dose 4 — Moderna
- 2022-10-18
- 2023-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-08-28 | Moderna | No |
| 4 | 2022-07-17 | Moderna | No |
Call center
3 call center cases
3 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Severe right shoulder pain. Unable to control right arm movements fully. Unable to life. Injection is left torso though.
Systemic reaction (other): Same as yesterday. Severe right shoulder pain (even though shot is on left torso with soreness and minor swelling). Due to right shoulder pain, unable to fully control right arm movements and lift anything. Rubbing right shoulder muscles have helped a bit in relieving pain.
Systemic reaction (other): Severe right shoulder pain still persists. It prevents full motion of right arm. Lifting of right arm to certain angles produce sharp pain.
Systemic reaction (other): Same as yesterday. Severe right shoulder muscles and shoulder joint pain. Do not have full motion control of right arm. No strength in right arm. Can't lift right arm to certain angles. Produce sharp pain.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Movement disorder | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release