4VK-23748-29529

3 vaccinations 8 coded responses 24 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 198 / DE
Registered: 2021-05-01

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

2021-03-29
Dose 1 — Moderna
2021-04-26
Dose 2 — Moderna
2021-05-01
Registered in v-safe
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2021-05-03
Survey response — day 7, dose 2
MedDRA: Arthralgia, Joint range of motion decreased, Pain — Feeling: Good · Site: Pain, Redness · Joint pains

Free text: Continuing pain in the shoulder where I received the injection. Things like pulling on a jacket are painful and my range of motion is a bit limited.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 14, dose 2
MedDRA: Arthralgia, Injection site pain, Pain — Feeling: Fair

Free text: Shoulder pain near the injection site. While I have full range of motion, some movements - like pulling on a jacket- are painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 21, dose 2
MedDRA: Arthralgia, Medical counselling, Mobility decreased, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening shoulder stiffness and difficulty with rotor cuff in arm where I received vaccination. Waking up in pain when I roll onto my arm, and having trouble pulling clothes over my head. · Healthcare visit (other): Workplace nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stiff painful shoulder in the arm where I received the enjection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 35, dose 2
MedDRA: Arthralgia, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued moderate pain in my left rotator cuff near the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-07
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling

Free text: Ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activities

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Call 1 — Left Voicemail
2022-06-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna
3	2021-12-07	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Ringing in ears

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Continuing pain in the shoulder where I received the injection. Things like pulling on a jacket are painful and my range of motion is a bit limited.

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Shoulder pain near the injection site. While I have full range of motion, some movements - like pulling on a jacket- are painful.

Release 8 — day 21, dose 2

2021-05-17

Symptoms: Worsening shoulder stiffness and difficulty with rotor cuff in arm where I received vaccination. Waking up in pain when I roll onto my arm, and having trouble pulling clothes over my head.

Healthcare visit (other): Workplace nurse

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Stiff painful shoulder in the arm where I received the enjection.

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Continued moderate pain in my left rotator cuff near the injection site.

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Ringing in ears

2021-12-09

Systemic reaction (other): Ringing in ears

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	Medical counselling	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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