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
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2021-01-12
Dose 1 — Moderna
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2021-01-26
Registered in v-safe
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2021-02-02
Survey response — day 21, dose 1MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My arm has been hurting from day 1, shoulder always aching and some days to painful to raise my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — day 28, dose 1MedDRA: Arthralgia, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Really bad shoulder pain still like in the joint and lots of fatigue · Healthcare visit (other): PcpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-16
Survey response — day 35, dose 1MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Went to doctor for left shoulder/ joint painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-22
Dose 2 — Moderna
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-28
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2021-03-03
Survey response — day 7, dose 2MedDRA: Pain in extremity — Feeling: Fair · Headache, Fatigue or tirednessFree text: Left arm still hurt really bad from 1st shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 42, dose 2MedDRA: 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 visitFree 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
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2021-04-07
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)
- 2021-06-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 3 — day 21, dose 1
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
Symptoms: Really bad shoulder pain still like in the joint and lots of fatigue
Healthcare visit (other): Pcp
Release 4 — day 35, dose 1
Symptoms: Went to doctor for left shoulder/ joint pains
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Headache
Release 5 — day 7, dose 2
Systemic reaction (other): Left arm still hurt really bad from 1st shot
Release 7 — day 42, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release