5B6-96144-72862
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-28
- 2021-02-05
- 2021-02-10
- 2021-02-17
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-03
- 2021-03-08
-
2021-03-15
Survey response — day 21, dose 2MedDRA: Dyspnoea, Joint range of motion decreased, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I realized that my arm/shoulder is hurting and I have diminished range of motionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-22
Survey response — day 28, dose 2MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think the shot was given too high and now my shoulder is hurting and I have poor range of motion because of the painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — day 35, dose 2MedDRA: Arthralgia, Joint range of motion decreased, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: My shoulder is still hard to move without pain. Who do I see for a vaccine injury. My range of motion has been greatly reduced.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — day 42, dose 2MedDRA: Injected limb mobility decreased, Limb injury, Product administered at inappropriate site, Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still with shoulder injury due to vaccine given too high. Pain and limited range of motion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 21, dose 2
Symptoms: I realized that my arm/shoulder is hurting and I have diminished range of motion
Release 6 — day 28, dose 2
Symptoms: I think the shot was given too high and now my shoulder is hurting and I have poor range of motion because of the pain
Release 6 — day 35, dose 2
Symptoms: My shoulder is still hard to move without pain. Who do I see for a vaccine injury. My range of motion has been greatly reduced.
Release 6 — day 42, dose 2
Symptoms: Still with shoulder injury due to vaccine given too high. Pain and limited range of motion.
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SD | Limb injury | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Product administered at inappropriate site | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release