4YF-20287-43123

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-01-04

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Survey response — day 0, dose 1
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: Just a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 14, dose 2
MedDRA: Arthralgia, Injection site pain, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe pain at the shot site radiating from there up my arm across my shoulders and down my left arm, it hurts when I try to move them. Is this norm? Its the second day. (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 21, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Poor · 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: Severe pain in left and right biceps up to both shoulders. Ive had the same pain for almost 10 days. Please contact me if this is heard of in others

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
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)
2021-03-01
Survey response — day 28, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · 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: Extreme pain in both arms and shoulders for last 12 days and ongoing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Myalgia, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severedibilatateing pain in left shoulder and bicep · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Call 1 — Left Voicemail
2022-02-01
Survey response — 12 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Continued pain in my left shoulder from my second Moderna shot in Feb 2021

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Just a little sore

Release 4 — day 14, dose 2

2021-02-15

Symptoms: Severe pain at the shot site radiating from there up my arm across my shoulders and down my left arm, it hurts when I try to move them. Is this norm? Its the second day. (b)(6)

redacted (b)(6)

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Severe pain in left and right biceps up to both shoulders. Ive had the same pain for almost 10 days. Please contact me if this is heard of in others

Release 4 — day 28, dose 2

2021-03-01

Symptoms: Extreme pain in both arms and shoulders for last 12 days and ongoing

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Severedibilatateing pain in left shoulder and bicep

Healthcare visit (other): Doctor visit

Release 11 — 12 months, dose 2

2022-02-01

Symptoms: Continued pain in my left shoulder from my second Moderna shot in Feb 2021

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	Injection site pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Pain	✓	✓	✓

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