4JY-17330-37002
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
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2021-03-24
Dose 1 — Moderna
- 2021-03-24
- 2021-03-25
- 2021-03-26
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: My big toe is swollen and sore but I think I got bit by something last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
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2021-04-07
Survey response — day 14, dose 1MedDRA: Joint range of motion decreased, Pain in extremity — Feeling: GoodFree text: Im having a new pain in my right hand. Maybe joint pain. Hurts to bend my index finger.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 21, dose 1MedDRA: Burning sensation, Pain in extremity — Feeling: FairFree text: My right finger is more sore. Seems like joint pain. Ive had a burning sensation in my right shoulder 4-5 times in the last week. Ive never had that before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Dose 2 — Moderna
- 2021-04-21
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, 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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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
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2021-05-12
Survey response — day 21, dose 2MedDRA: Arthralgia, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My left shoulder and elbow and right index finger are extremely sore. Hurts to move or bend.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
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2021-05-26
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The joint pain is now in both shoulders, elbows, and right index finger.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — day 42, dose 2MedDRA: Arthralgia, Condition aggravated, Mobility decreased, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Joint pain is worse. Shoulders hard to move.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe pain in shoulder. Getting an MRI next week. Ortho doc thinks its rotator cuff.MedDRA releases: 2024-11 · check-in free text available
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2021-07-21
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-24
- 2021-07-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My big toe is swollen and sore but I think I got bit by something last night.
Release 7 — day 14, dose 1
Symptoms: Im having a new pain in my right hand. Maybe joint pain. Hurts to bend my index finger.
Release 7 — day 21, dose 1
Symptoms: My right finger is more sore. Seems like joint pain. Ive had a burning sensation in my right shoulder 4-5 times in the last week. Ive never had that before.
Release 8 — day 21, dose 2
Symptoms: My left shoulder and elbow and right index finger are extremely sore. Hurts to move or bend.
Release 8 — day 35, dose 2
Symptoms: The joint pain is now in both shoulders, elbows, and right index finger.
Release 8 — day 42, dose 2
Symptoms: Joint pain is worse. Shoulders hard to move.
Release 9 — 3 months, dose 2
Symptoms: Severe pain in shoulder. Getting an MRI next week. Ortho doc thinks its rotator cuff.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release