56Q-94486-47680

4 vaccinations 8 coded responses 35 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 922 / CA
Registered: 2021-01-20

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-20
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Pain in extremity, Pruritus, Rash macular — Feeling: Good

Free text: My arm is a bit itchy and the area is mildly risen and red. Its a mild rash. Still a little tender to the touch after 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Movement disorder, Neuralgia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe shoulder joint pain. Cannot lift my arm. Nerve pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Injected limb mobility decreased, Pain, Product administered at inappropriate site, Self-medication — Feeling: Poor · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I have extremely limited range of motion in my right arm where I received the injection. The injection was given high on my shoulder area. Ive been taking ibuprofen and Tylenol to full the constant ache. I get piercing pain when I lift my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Joint range of motion decreased, Mobility decreased, Pain — Feeling: Poor · Site: Pain · Fever · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I still have tremendous pain in my shoulder joint and limited range of motion. I cant bring my arm up laterally or above my head due to sharp pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain, Self-medication, Sleep disorder — Feeling: Poor · Site: Pain · Joint pains · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I still have extreme joint pain when moving my arm. Calling the doctor tomorrow as I cant sleep at night due to pain. Im taking Tylenol all night long.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Self-medication — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Doctor has me taking ibuprofen and Tylenol together to try to lessen shoulder joint inflammation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Survey response — day 7, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Shoulder joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Office visit, Pain — 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: Still have horrible pain in my shoulder joint. I finally got in to the doctor. I had an X-ray and will need physical therapy. This free vaccine is costing me a lot of money besides the pain and suffering.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
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)
2021-03-19
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-10
Dose 3 — Moderna
2021-12-29
Call 1 — Left Voicemail
2022-02-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-21
Dose 4 — Moderna
2022-05-30
Health check-in — day 7, dose 4
Feeling: Good · None · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-21
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-19	Moderna
3	2021-11-10	Moderna	No
4	2022-05-21	Moderna	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: My arm is a bit itchy and the area is mildly risen and red. Its a mild rash. Still a little tender to the touch after 2 weeks.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Severe shoulder joint pain. Cannot lift my arm. Nerve pain.

2021-02-21

Systemic reaction (other): I have extremely limited range of motion in my right arm where I received the injection. The injection was given high on my shoulder area. Ive been taking ibuprofen and Tylenol to full the constant ache. I get piercing pain when I lift my arm.

2021-02-22

Systemic reaction (other): I still have tremendous pain in my shoulder joint and limited range of motion. I cant bring my arm up laterally or above my head due to sharp pain.

2021-02-23

Systemic reaction (other): I still have extreme joint pain when moving my arm. Calling the doctor tomorrow as I cant sleep at night due to pain. Im taking Tylenol all night long.

2021-02-24

Healthcare visit (other): Doctor has me taking ibuprofen and Tylenol together to try to lessen shoulder joint inflammation.

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Shoulder joint pain

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Still have horrible pain in my shoulder joint. I finally got in to the doctor. I had an X-ray and will need physical therapy. This free vaccine is costing me a lot of money besides the pain and suffering.

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	Joint swelling	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash macular	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Movement disorder	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Product administered at inappropriate site	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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