59V-76247-60905
5 vaccinations
7 coded responses
38 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 295 / SC
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-26
Dose 1 — Moderna
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2021-04-23
Dose 2 — Moderna
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2021-04-26
Registered in v-safe
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-28
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Injected limb mobility decreased, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The 1st shot was not administered in the deltoid muscle and was given in the back of my upper left shoulder. I was in pain from the 1st shot when I got the 2nd shot. My range of motion is terrible and painful to even lift my arm. Tylenol helps but only for a while and I don't want to take medication like that. My arm should not still hurt like this and its to the point that it goes limp.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
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2021-05-14
Survey response — day 21, dose 2MedDRA: Injected limb mobility decreased, Injection site pain, Pain, Product administered at inappropriate site — Feeling: Good · Be unable to do your normal daily activitiesFree text: My arm still hurts from where I was given the shot in the wrong lication. It goes limp and can only be raised a certain height before unbearable pain starts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 28, dose 2MedDRA: Hypotonia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My L arm is still sore and going limp.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-04
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2021-07-23
Survey response — 3 months, dose 2MedDRA: Hypertension — Feeling: GoodFree text: High Blood PressureMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-22
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2021-11-05
Dose 3 — Moderna
- 2022-04-23
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2022-05-16
Dose 4 — Moderna
- 2022-05-16
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2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body achesAdult check-in
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
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2022-05-23
Survey response — day 7, dose 4MedDRA: Anxiety — Feeling: GoodFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-22
- 2022-06-27
- 2022-11-16
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2023-01-12
Dose 5 — Moderna
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2023-01-12
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2023-01-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2023-01-14
- 2023-01-15
- 2023-01-16
- 2023-01-17
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2023-01-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2023-01-20
Health check-in — day 7, dose 5Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2023-01-26
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2023-02-09
Survey response — day 28, dose 5MedDRA: Catarrh, Chills, Feeling hot, Headache — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-13
Survey response — 3 months, dose 5MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2023-01-12 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The 1st shot was not administered in the deltoid muscle and was given in the back of my upper left shoulder. I was in pain from the 1st shot when I got the 2nd shot. My range of motion is terrible and painful to even lift my arm. Tylenol helps but only for a while and I don't want to take medication like that. My arm should not still hurt like this and its to the point that it goes limp.
Release 8 — day 21, dose 2
Symptoms: My arm still hurts from where I was given the shot in the wrong lication. It goes limp and can only be raised a certain height before unbearable pain starts.
Release 8 — day 28, dose 2
Symptoms: My L arm is still sore and going limp.
Release 9 — 3 months, dose 2
Symptoms: High Blood Pressure
Release 11 — day 7, dose 4
Systemic reaction (other): Anxiety
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 | Catarrh | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | ✓ | · | ✓ |
| SD | Hypotonia | ✓ | ✓ | ✓ |
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Product administered at inappropriate site | ✓ | ✓ | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release