4YK-15747-14021
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 629 / IL
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Flushing — Feeling: GoodFree text: My face is flushed like a mild sunburn. No other problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-12
Survey response — day 28, dose 1MedDRA: Injected limb mobility decreased, Pain, Rotator cuff syndrome — Feeling: GoodFree text: Rotator cuff pain and limited mobility on injection arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Musculoskeletal stiffness — Feeling: Good · Joint painsFree text: It feels like my injection side shoulder is stiff and a little painful. Symptoms mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Joint in injection arm mild pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Mobility decreased — Feeling: GoodFree text: My injection arm is still sore. It's difficult to lift and rotate. Low moderate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-08
- 2021-05-14
- 2021-05-22
- 2021-05-28
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2021-07-16
Survey response — 3 months, dose 2MedDRA: Arthralgia, Joint stiffness — Feeling: GoodFree text: My injection-side shoulder joint is stiff and painful. It hasn't prevented me from working, but it's slowed me down some.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Arthralgia, Injected limb mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: The injection shoulder joint hurts, is difficult to move. Not always, but often.MedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Injection site pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Injection site STILL sore.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My face is flushed like a mild sunburn. No other problems.
Release 7 — day 28, dose 1
Symptoms: Rotator cuff pain and limited mobility on injection arm.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): It feels like my injection side shoulder is stiff and a little painful. Symptoms mild.
Systemic reaction (other): Joint in injection arm mild pain.
Systemic reaction (other): My injection arm is still sore. It's difficult to lift and rotate. Low moderate.
Release 9 — 3 months, dose 2
Symptoms: My injection-side shoulder joint is stiff and painful. It hasn't prevented me from working, but it's slowed me down some.
Release 10 — 6 months, dose 2
Symptoms: The injection shoulder joint hurts, is difficult to move. Not always, but often.
Release 11 — 12 months, dose 2
Symptoms: Injection site STILL sore.
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Joint stiffness | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rotator cuff syndrome | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release