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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

  1. 2022-09-27
    Dose 1 — Moderna
  2. 2022-10-12
    Registered in v-safe
  3. 2022-10-12
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Limb discomfort, Pain in extremity, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free 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 days
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-10-18
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  5. 2022-10-26
    Survey response — day 28, dose 1
    MedDRA: 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 visit
    Free 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 for11/9
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-10-26
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2022-10-27
  8. 2022-11-01
    Survey response — day 35, dose 1
    MedDRA: 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 professional
    Free 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 PCP
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-01
    Report sent to call center — day 35, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2022-11-02
  11. 2022-11-02

Vaccinations

DoseDateManufacturerCo-administered
12022-09-27Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 12 — day 14, dose 1

2022-10-12

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

2022-10-26

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

2022-11-01

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDJoint range of motion decreased · · ✓
SDLimb discomfort · · ✓
SDLimb injury · · ✓
SDMobility decreased · · ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SDVomiting · · ✓

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