5DP-15468-46430
1 vaccination
3 coded responses
4 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 781 / TX
- Registered
- 2022-10-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-27
Dose 1 — Moderna
-
2022-10-12
Registered in v-safe
-
2022-10-12
Survey response — day 14, dose 1MedDRA: Arthralgia, Limb discomfort, Pain in extremity, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: After flu shot on left arm9/20/22 I had very mild arm discomfort.I had vomiting after arm sore on day 2 started last 3 days 9/27/22 Moderna shot#1.After 10/7/22 Pneumonia vaccine#23 in my left arm I have excruciatingly shoulder &arm pain 6 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
-
2022-10-26
Survey response — day 28, dose 1MedDRA: Arthralgia, Limb injury, Mobility decreased, Office visit, Pain in extremity — 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 visitFree text: Symptoms: My left arm is still hurting alot..Limited range of motion .Went to urgent care on 10/25.They prescribed Napoxin sodium n flexoril.I have never had injury to my shoulder or pain on my shoulder until the immunization shot on 10/7 since that when it be · Healthcare visit (other): Urgent care 10/25 PCP set for11/9MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-27
-
2022-11-01
Survey response — day 35, dose 1MedDRA: Arthralgia, Joint range of motion decreased, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My left shoulder range of motion limited and sore.pretty much same as last week. · Healthcare visit (other): Appt on 11/9/22 with my PCPMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Report sent to call center — day 35, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-02
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-27 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 12 — day 14, dose 1
Symptoms: After flu shot on left arm9/20/22 I had very mild arm discomfort.I had vomiting after arm sore on day 2 started last 3 days 9/27/22 Moderna shot#1.After 10/7/22 Pneumonia vaccine#23 in my left arm I have excruciatingly shoulder &arm pain 6 days
Release 12 — day 28, dose 1
Symptoms: My left arm is still hurting alot..Limited range of motion .Went to urgent care on 10/25.They prescribed Napoxin sodium n flexoril.I have never had injury to my shoulder or pain on my shoulder until the immunization shot on 10/7 since that when it be cut off by CDC
Healthcare visit (other): Urgent care 10/25 PCP set for11/9
Release 12 — day 35, dose 1
Symptoms: My left shoulder range of motion limited and sore.pretty much same as last week.
Healthcare visit (other): Appt on 11/9/22 with my PCP
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Joint range of motion decreased | · | · | ✓ |
| SD | Limb discomfort | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release