4AM-26053-90936

2 vaccinations 8 coded responses 10 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 087 / NJ
Registered: 2021-03-14

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

2021-02-23
Dose 1 — Moderna
2021-03-14
Registered in v-safe
2021-03-14
Survey response — day 14, dose 1
MedDRA: Arthralgia, Immunisation reaction, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Joint range of motion decreased, Mobility decreased, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Covid Arm. Large red patch at injection sight. Itchy. Hot. Tender. Entire shoulder sore. Limited range of motion. Pain emanating down into forearm. Very painful. Limited use of left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 21, dose 1
MedDRA: Arthralgia, Asthenia, Hypokinesia, Injection site erythema, Injection site pruritus, Office visit, Pain, Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My upper arm at sight of shot still red, itchy. Shoulder socket STILL VERY PAINFUL, weak, limited range of motion, pain shooting into forearm. Disturbs sleep. Cannot sleep on left side. · Healthcare visit (other): Orthopedic appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Dose 2 — Moderna
2021-03-23
Survey response — day 28, dose 1
MedDRA: Arthralgia, Back pain, Mobility decreased, Muscular weakness, Musculoskeletal stiffness, Neck pain, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My shoulder socket hurts more. Stiff. Limited range of motion. Pain into my upper back left and left back of neck. Pain shooting down left arm into hand. Weakness in left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Arthralgia — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still experiencing severe shoulder pain from shot #1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 2
MedDRA: Arthralgia, Ear pain, Musculoskeletal pain, Myalgia, Neck pain, Office visit, Pain, Pain in extremity, Self-medication — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme pain in bicep radiating down into forearm and hand, shoulder socket radiating into shoulder blade and up into neck behind ear. Very painful. No relief with applications of heat or cold nor from Tylenol. · Healthcare visit (other): Orthopedic Specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 21, dose 2
MedDRA: Ear pain, Joint range of motion decreased, Mobility decreased, Musculoskeletal pain, Neck pain, Pain, Pain in extremity, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening pain and limited range of motion in left upper arm, bicep, shoulder joint, referred pain shooting under left shoulder blade and up into left side of neck stopping behind ear. Pain shooting down left forearm to fingers. · Healthcare visit (other): Appt with orthopedic specialist 4/20.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 28, dose 2
MedDRA: Arthralgia, Breast pain, Mobility decreased, Musculoskeletal pain, Office visit, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued pain throughout left shoulder, bicep, shoulder blade, forearm into hand and side of left breast. Pain worsening and constant. No relief. Limited range of motion. · Healthcare visit (other): Orthopedic specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-04
Survey response — day 42, dose 2
MedDRA: Joint range of motion decreased, Office visit, Pain, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More pain. Decreased range of motion. Pain constant. Sleep disruption. · Healthcare visit (other): 2 orthopedic specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2022-03-07
Call 1 — Could Not Reach Participant
2022-03-10
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Covid Arm. Large red patch at injection sight. Itchy. Hot. Tender. Entire shoulder sore. Limited range of motion. Pain emanating down into forearm. Very painful. Limited use of left arm.

Release 5 — day 21, dose 1

2021-03-16

Symptoms: My upper arm at sight of shot still red, itchy. Shoulder socket STILL VERY PAINFUL, weak, limited range of motion, pain shooting into forearm. Disturbs sleep. Cannot sleep on left side.

Healthcare visit (other): Orthopedic appointment.

Release 6 — day 28, dose 1

2021-03-23

Symptoms: My shoulder socket hurts more. Stiff. Limited range of motion. Pain into my upper back left and left back of neck. Pain shooting down left arm into hand. Weakness in left arm.

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Still experiencing severe shoulder pain from shot #1

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Extreme pain in bicep radiating down into forearm and hand, shoulder socket radiating into shoulder blade and up into neck behind ear. Very painful. No relief with applications of heat or cold nor from Tylenol.

Healthcare visit (other): Orthopedic Specialist

Release 7 — day 21, dose 2

2021-04-13

Symptoms: Worsening pain and limited range of motion in left upper arm, bicep, shoulder joint, referred pain shooting under left shoulder blade and up into left side of neck stopping behind ear. Pain shooting down left forearm to fingers.

Healthcare visit (other): Appt with orthopedic specialist 4/20.

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Continued pain throughout left shoulder, bicep, shoulder blade, forearm into hand and side of left breast. Pain worsening and constant. No relief. Limited range of motion.

Healthcare visit (other): Orthopedic specialist

Release 8 — day 42, dose 2

2021-05-04

Symptoms: More pain. Decreased range of motion. Pain constant. Sleep disruption.

Healthcare visit (other): 2 orthopedic specialist

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Hypokinesia	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	✓

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