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58V-23469-76118

4 vaccinations 6 coded responses 20 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
300 / GA
Registered
2021-01-12
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Myalgia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Muscle ache in shoulder and forearm of arm I received vaccine injection in. Injection site soreness was gone by 1-10-21; however, muscle ache in the arm has lingered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle discomfort, Muscle strain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Still have "pulled/strained muscle discomfort in left arm. Not painful at actual injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle strain, Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Still experiencing strained/pulled muscle type pain in left arm and forearm. Pain is mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-15
    Survey response — day 7, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: Continue to have mild oain in keft arm similar to pain experienced with strained/pulled muscle
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-08
    Dose 2 — Moderna
  11. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle strain, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Left arm soreness like muscle strain since first injection. Pain finally seems to be improving slightly after 5 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-15
    Survey response — day 7, dose 2
    MedDRA: Myalgia, Pain in extremity — Feeling: Good · Fatigue or tiredness
    Free text: Improving muscle pain in left arm--feels like muscle strain of bicep, not specifically in deltoid muscle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-08
    Dose 3 — Moderna
  21. 2022-02-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-08-03
    Dose 4 — Pfizer-BioNTech
  23. 2022-09-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-11-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  25. 2023-02-01
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-08Moderna
32021-11-08Moderna No
42022-08-03Pfizer-BioNTech No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Muscle ache in shoulder and forearm of arm I received vaccine injection in. Injection site soreness was gone by 1-10-21; however, muscle ache in the arm has lingered.

2021-01-13

Systemic reaction (other): Still have "pulled/strained muscle discomfort in left arm. Not painful at actual injection site.

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Still experiencing strained/pulled muscle type pain in left arm and forearm. Pain is mild.

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Continue to have mild oain in keft arm similar to pain experienced with strained/pulled muscle

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Left arm soreness like muscle strain since first injection. Pain finally seems to be improving slightly after 5 weeks.

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): Improving muscle pain in left arm--feels like muscle strain of bicep, not specifically in deltoid muscle.

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
SROInjection site pain ✓ ✓ ✓
SROMuscle discomfort ✓ ✓ ✓
SROMuscle strain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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