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4UW-26169-33016

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
750 / TX
Registered
2021-01-26
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-02-02
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My arm has been hurting from day 1, shoulder always aching and some days to painful to raise my arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-09
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Really bad shoulder pain still like in the joint and lots of fatigue · Healthcare visit (other): Pcp
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-09
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-16
    Survey response — day 35, dose 1
    MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Went to doctor for left shoulder/ joint pains
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-16
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-22
    Dose 2 — Moderna
  9. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  14. 2021-03-03
    Survey response — day 7, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Left arm still hurt really bad from 1st shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-07
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Mobility decreased — 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 visit
    Free text: My left shoulder from shot #1 hurt really bad all the time. Most days I'm not able to raise it and some days it hurt so bad i have to stop whatever I'm doing and sit till it stop.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-07
    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)
  17. 2021-06-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-22Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-02

Symptoms: My arm has been hurting from day 1, shoulder always aching and some days to painful to raise my arm

Release 3 — day 28, dose 1

2021-02-09

Symptoms: Really bad shoulder pain still like in the joint and lots of fatigue
Healthcare visit (other): Pcp

Release 4 — day 35, dose 1

2021-02-16

Symptoms: Went to doctor for left shoulder/ joint pains

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Headache

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Left arm still hurt really bad from 1st shot

Release 7 — day 42, dose 2

2021-04-07

Symptoms: My left shoulder from shot #1 hurt really bad all the time. Most days I'm not able to raise it and some days it hurt so bad i have to stop whatever I'm doing and sit till it stop.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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