4RA-33352-85815

4 vaccinations 11 coded responses 49 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 200 / DC
Registered: 2021-02-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Myalgia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Vaccined arm muscles sore. Site of vaccine is sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pain in extremity, Vaccination site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: My arm muscle is still sore and aches. The site of the vaccine is sore to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Vaccination site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Pain in my arm muscle and at the vaccine site is very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Pruritus — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: Fading muscle ache, some itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle ache in upper arm of the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Myalgia, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle ache in upper arm and sore in vaccinated arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still sore upper arm muscle

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Survey response — day 7, dose 3
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Sourness in arm muscle is better. Not sore at vaccination site.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Neck pain, Pain in extremity, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Neck, upper arm & shoulder pain. Have scheduled a doctor's appointment. · Healthcare visit (other): I have a scheduled appointment.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-25
Survey response — 6 months, dose 3
MedDRA: Pain in extremity, Pruritus — Feeling: Good

Free text: Arm sight is sore sometimes or itches.

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Dose 4 — Moderna
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-22
Survey response — 3 months, dose 4
MedDRA: Joint impingement, Office visit, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had a shoulder impingement in the vaccinated arm. I changed arm for last booster. · Healthcare visit (other): Primary doctor in person visits, Orthopedic doctor in person visit, physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-10-25	Moderna	No
4	2022-05-23	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Vaccined arm muscles sore. Site of vaccine is sore

2021-02-11

Systemic reaction (other): My arm muscle is still sore and aches. The site of the vaccine is sore to touch.

2021-02-12

Systemic reaction (other): Pain in my arm muscle and at the vaccine site is very mild

2021-02-13

Systemic reaction (other): Fading muscle ache, some itching

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Muscle ache in upper arm of the vaccine.

2021-10-29

Systemic reaction (other): Muscle ache in upper arm and sore in vaccinated arm

2021-10-30

Systemic reaction (other): Still sore upper arm muscle

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): Sourness in arm muscle is better. Not sore at vaccination site.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Neck, upper arm & shoulder pain. Have scheduled a doctor's appointment.

Healthcare visit (other): I have a scheduled appointment.

Release 11 — 6 months, dose 3

2022-04-25

Symptoms: Arm sight is sore sometimes or itches.

Release 12 — 3 months, dose 4

2022-08-22

Symptoms: I have had a shoulder impingement in the vaccinated arm. I changed arm for last booster.

Healthcare visit (other): Primary doctor in person visits, Orthopedic doctor in person visit, physical therapy

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	Physiotherapy	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Joint impingement	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pruritus	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Vaccination site pain	✓	✓	✓

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