4V4-25451-51135
4 vaccinations
7 coded responses
32 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 337 / FL
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Frequent bowel movements, Hyperhidrosis, Nausea, Neck pain, Pain in extremity — Feeling: Fair · Fever · Muscle or body aches, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: I had a short session of sweats, nausea and frequent defacating. Pain in shoulder and right arm / neck has been for about 3 weeks - probably not related to the covid-19 vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body achesFree text: Don't know if pain in right shoulder, right arm and neck is covid vaccine related. I received both vaccines in my left upper arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Neck pain, Pain in extremity, Rash — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Don't know if right shoulder, right arm and neck pain are related to the covid vaccine - my 2 vaccines were injected into my upper left arm. I also had a rash on my back yesterday - don't know why. I took some tylenol and benydril - seems to help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Immunisation, Neck pain, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body achesFree text: I don't know if my right shoulder, upper right arm and neck pain is related to the covid-19 vaccines. My 2 vaccines were injected into my upper left arm which feels.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Medical counselling, Neck pain, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches · 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: Systemic reaction (other): I don't know if my shoulder, neck and right arm pain is related to the covid vaccine. My 2 vaccines were injected into my upper left arm and there is no pain there. Other than my right arm, right shoulder and neck pain, I feel OK. · Healthcare visit (other): Doctor called in a prescription for neck and shoulder pain and also ordered an xray if same. Will see a chiropractor on Thursday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-17
Survey response — day 7, dose 2MedDRA: Arthralgia, Neck pain, Pain in extremity, Self-medication — Feeling: Fair · Joint pains, Muscle or body aches · 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: Systemic reaction (other): I have had pain in my right shoulder, arm and neck for about 5 weeks - I don't know if it is related to the covid vaccines or not. My vaccines were injected in my left arm ?? I am taking tylenol for the pain but it doesn't help much. I have scheduled a chiropractic appointment fir tomorrow for an assessment to see if the pain is related to a vertibrae or pinched nerve problem. · Healthcare visit (other): Doctor called in a prescription for the pain in shoulder, arm & neck. Will see a chiropractor tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-06
- 2021-08-11
- 2022-02-11
-
2022-08-16
Dose 3 — Moderna
- 2022-10-03
-
2022-10-08
Dose 4 — Moderna
- 2022-11-15
- 2022-11-15
- 2022-11-19
-
2023-01-07
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain — 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 consultationMedDRA releases: 2024-11
-
2023-01-07
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-01-10
Call successfulNot applicable - Accidental Reporting
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2022-08-16 | Moderna | No |
| 4 | 2022-10-08 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had a short session of sweats, nausea and frequent defacating. Pain in shoulder and right arm / neck has been for about 3 weeks - probably not related to the covid-19 vaccine.
Systemic reaction (other): Don't know if pain in right shoulder, right arm and neck is covid vaccine related. I received both vaccines in my left upper arm.
Systemic reaction (other): Don't know if right shoulder, right arm and neck pain are related to the covid vaccine - my 2 vaccines were injected into my upper left arm. I also had a rash on my back yesterday - don't know why. I took some tylenol and benydril - seems to help.
Systemic reaction (other): I don't know if my right shoulder, upper right arm and neck pain is related to the covid-19 vaccines. My 2 vaccines were injected into my upper left arm which feels.
Systemic reaction (other): I don't know if my shoulder, neck and right arm pain is related to the covid vaccine. My 2 vaccines were injected into my upper left arm and there is no pain there. Other than my right arm, right shoulder and neck pain, I feel OK.
Healthcare visit (other): Doctor called in a prescription for neck and shoulder pain and also ordered an xray if same. Will see a chiropractor on Thursday.
Release 4 — day 7, dose 2
Systemic reaction (other): I have had pain in my right shoulder, arm and neck for about 5 weeks - I don't know if it is related to the covid vaccines or not. My vaccines were injected in my left arm ?? I am taking tylenol for the pain but it doesn't help much. I have scheduled a chiropractic appointment fir tomorrow for an assessment to see if the pain is related to a vertibrae or pinched nerve problem.
Healthcare visit (other): Doctor called in a prescription for the pain in shoulder, arm & neck. Will see a chiropractor tomorrow.
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 | Arthralgia | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Neck pain | ✓ | ✓ | ✓ |
| HCVO | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Frequent bowel movements | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Immunisation | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release