4L7-17199-37027

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 751 / TX
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Condition aggravated, Pre-existing disease — Feeling: Good · Headache

Free text: Joint pain in my left shoulder and elbow. I'm recovering from a frozen shoulder, it seemed aggravated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal discomfort, Periarthritis — Feeling: Good

Free text: My left (frozen shoulder) is still a little uncomfortable but nothing major.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Pain, Periarthritis, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Bone pain (I have a frozen shoulder that's had more pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Periarthritis, Sensitisation — Feeling: Good · Site: Pain · Headache, Nausea

Free text: Frozen shoulder joint more sensitive than its been during recovery.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Diarrhea

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Office visit, Periarthritis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My left frozen shoulder is almost free, while the right shoulder is currently in freezing stage. · Healthcare visit (other): Orthopedic

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-25
Survey response — 12 months, dose 2
MedDRA: COVID-19, Impaired work ability, Malaise, Office visit, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I have been sick with covid. Tested positive by my employer 1/16. Was out of work - unpaid until today 1/25 · Healthcare visit (other): Employee health

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-25	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Joint pain in my left shoulder and elbow. I'm recovering from a frozen shoulder, it seemed aggravated.

2021-01-06

Systemic reaction (other): My left (frozen shoulder) is still a little uncomfortable but nothing major.

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Bone pain (I have a frozen shoulder that's had more pain.

2021-01-27

Systemic reaction (other): Frozen shoulder joint more sensitive than its been during recovery.

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: My left frozen shoulder is almost free, while the right shoulder is currently in freezing stage.

Healthcare visit (other): Orthopedic

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: I have been sick with covid. Tested positive by my employer 1/16. Was out of work - unpaid until today 1/25

Healthcare visit (other): Employee health

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	✓	·	✓
SD	COVID-19	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Malaise	·	·	✓
SD	Periarthritis	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Pain	✓	·	✓
SRO	Periarthritis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sensitisation	✓	·	✓

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