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4Y9-25775-98780

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
725 / AR
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-08
    Dose 2 — Moderna
  3. 2021-03-19
    Registered in v-safe
  4. 2021-03-19
    Survey response — day 7, dose 2
    MedDRA: Dysphagia, Headache, Monoplegia, Neck pain, Oropharyngeal pain, Pain in extremity, Paraesthesia, Sleep disorder, Tenderness — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Right hand doesnt work, cant type, sensations are weirdeverything it touches feels like steel wool. Pain on right side of head, neck, throat, and arm. Could not sleep on right side for two weeks. Hard to swallow. It hurt to touch my hair on right side. So I got 2nd vaccine also on right arm so Iwould still have use of one hand.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I cant use my right hand. Right shoulder hurts. Cant raise arm over my head to do yoga posture, cant keep arm on floor to support me in seated posture (it buckles). When I try to put the mask on the right hand cant do the right ear. Head
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Myalgia, Tenderness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I cant use my right hand. My muscle where I got the vaccine is still sore. When my right hand touches something it feels like steel wool.The right side of my neck is still tender. And I feel slightly dizzy. I can. However, sleep on my right side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-05
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-04-12
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-04-19
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-09-06
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-08Moderna

Free text

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Right hand doesnt work, cant type, sensations are weirdeverything it touches feels like steel wool. Pain on right side of head, neck, throat, and arm. Could not sleep on right side for two weeks. Hard to swallow. It hurt to touch my hair on right side. So I got 2nd vaccine also on right arm so Iwould still have use of one hand.

Release 6 — day 14, dose 2

2021-03-22

Symptoms: I cant use my right hand. Right shoulder hurts. Cant raise arm over my head to do yoga posture, cant keep arm on floor to support me in seated posture (it buckles). When I try to put the mask on the right hand cant do the right ear. Head

Release 6 — day 21, dose 2

2021-03-29

Symptoms: I cant use my right hand. My muscle where I got the vaccine is still sore. When my right hand touches something it feels like steel wool.The right side of my neck is still tender. And I feel slightly dizzy. I can. However, sleep on my right side.

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
SDArthralgia ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SRODysphagia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMonoplegia ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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