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5DB-14429-81172

2 vaccinations 8 coded responses 12 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
038 / NH
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-23
    Registered in v-safe
  3. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-02-01
    Survey response — day 14, dose 1
    MedDRA: Burning sensation, Myalgia, Tenderness — Feeling: Good
    Free text: Muscle that shot was given. Still painful. Has achiness, burning, painful to touch that muscle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-07
    Survey response — day 21, dose 1
    MedDRA: Muscle swelling, Myalgia, Self-medication — Feeling: Good
    Free text: The muscle in my arm is still sore where the shot was given to me. Muscle still has a throb pain, has a swelling. Using muscle rub.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-15
    Dose 2 — Moderna
  7. 2021-02-15
    Survey response — day 28, dose 1
    MedDRA: Injection site pain, Pain — Feeling: Good
    Free text: My arm still aches in the area the shot given. Throbs, burns, aches. The person who gave the shot gave it lower in my arm and my arm hurts all the time in that muscle. You need to make sure people know where to give a shit!-2nd shot today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Facial pain, Musculoskeletal stiffness, Neck pain, Self-medication — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe facial pain the worst Ive ever had. Both sides of my neck and shoulders were in extreme pain. My hands are stiff. Its 9:37 and things are calming down after taking meds.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache
    Free text: Still pain in left arm where 1st shot given
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  12. 2021-03-04
    Survey response — day 14, dose 2
    MedDRA: Burning sensation, Headache, Pain, Pain in extremity — Feeling: Fair
    Free text: 2nd shot. Still have headache1st shot still have throbbing pain, burning and aching in the left arm, but your company does not seem to care.!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-15
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Pain in extremity — Feeling: Good
    Free text: Left arm still hurts from 1 st shot2nd shot ok. No issues except tiredness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Burning sensation, Injection site pain, Office visit, Pain, Pain in extremity — Feeling: Fair
    Free text: My left arm continues to ache, burn, throb daily in the area of the shot. Constant pain. The arm is not the same. I mentioned it at a dr.s appt a few months ago and before and in May I will discuss again.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-15Moderna

Free text

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Muscle that shot was given. Still painful. Has achiness, burning, painful to touch that muscle.

Release 3 — day 21, dose 1

2021-02-07

Symptoms: The muscle in my arm is still sore where the shot was given to me. Muscle still has a throb pain, has a swelling. Using muscle rub.

Release 4 — day 28, dose 1

2021-02-15

Symptoms: My arm still aches in the area the shot given. Throbs, burns, aches. The person who gave the shot gave it lower in my arm and my arm hurts all the time in that muscle. You need to make sure people know where to give a shit!-2nd shot today

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Severe facial pain the worst Ive ever had. Both sides of my neck and shoulders were in extreme pain. My hands are stiff. Its 9:37 and things are calming down after taking meds.

2021-02-20

Systemic reaction (other): Still pain in left arm where 1st shot given

Release 5 — day 14, dose 2

2021-03-04

Symptoms: 2nd shot. Still have headache1st shot still have throbbing pain, burning and aching in the left arm, but your company does not seem to care.!!

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Left arm still hurts from 1 st shot2nd shot ok. No issues except tiredness.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: My left arm continues to ache, burn, throb daily in the area of the shot. Constant pain. The arm is not the same. I mentioned it at a dr.s appt a few months ago and before and in May I will discuss again.

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
SDBurning sensation ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMuscle swelling ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOffice visit · · ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROFacial pain ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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