5KG-22208-41897

5 vaccinations 14 coded responses 48 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 201 / VA
Registered: 2021-03-01

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-28
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Swelling · Joint pains · Be unable to do your normal daily activities

Free text: Tingling at my left toes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not sure if related with vaccine, had tingling at my left toes first day. Its been in-off pain on my right foot, near the ball of foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Heaviness in raising my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Limb discomfort, Mobility decreased — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Free text: Mild Dizziness & hard time to move/lift arm and shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good · Site: Pain · Joint pains

Free text: Arm & Shoulder painful if rotate and raised

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-06
Survey response — day 7, dose 2
MedDRA: Arthralgia, Mobility decreased — Feeling: Good · Joint pains

Free text: Shoulder pain and hard to move back side position

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-04-20
Survey response — day 21, dose 2
MedDRA: Arthralgia, Pain, Sleep disorder — Feeling: Good

Free text: Motor (movement) of my left shoulder still experiencing pain. Hard to sleep on the left side(where the shots done), hard to clip the brassiere. Not sure if it will go back the ease of moving it. That is the reason I select yes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 28, dose 2
MedDRA: Arthralgia, Mobility decreased — Feeling: Good

Free text: Shoulder pain and movement is hard and limited.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 35, dose 2
MedDRA: Arthralgia, Periarthritis — Feeling: Good

Free text: pain and hard of movement on my Shoulder since first dose and now its worst. Pain is now Down to elbow. Might make an appointment with my primary if pain continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough and cold lasted longer than last year

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-01
Dose 3 — Moderna
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Chills

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Call 1 — Left Voicemail
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-01
Dose 4 — Moderna
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-22
Survey response — day 21, dose 4
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder pain has not subside. Extreme pain on muscles, too.

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Survey response — day 28, dose 4
MedDRA: Arthralgia, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme Pain in my shoulder. Hard to hold my hand hang and carry heavy stuff.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — day 35, dose 4
MedDRA: Arthralgia, Massage, Office visit, Pain in extremity, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm and shoulder pain persists since the first COVID vaccine. I even massage and do my exercises that PT thought me. I've seen orthopaedic thinking it might be arthritis, but it's not.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Survey response — day 42, dose 4
MedDRA: Arthralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder pain extreme. Pain is on and off. No finding from the doctor

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-01-12
Dose 5 — Moderna
2023-05-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-30	Moderna
3	2021-11-01	Moderna	No
4	2022-05-01	Moderna	No
5	2023-01-12	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Tingling at my left toes

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Not sure if related with vaccine, had tingling at my left toes first day. Its been in-off pain on my right foot, near the ball of foot

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Heaviness in raising my arm

2021-04-03

Systemic reaction (other): Mild Dizziness & hard time to move/lift arm and shoulder

2021-04-04

Systemic reaction (other): Arm & Shoulder painful if rotate and raised

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Shoulder pain and hard to move back side position

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Motor (movement) of my left shoulder still experiencing pain. Hard to sleep on the left side(where the shots done), hard to clip the brassiere. Not sure if it will go back the ease of moving it. That is the reason I select yes.

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Shoulder pain and movement is hard and limited.

Release 8 — day 35, dose 2

2021-05-04

Symptoms: pain and hard of movement on my Shoulder since first dose and now its worst. Pain is now Down to elbow. Might make an appointment with my primary if pain continues

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Cough and cold lasted longer than last year

Release 11 — day 21, dose 4

2022-05-22

Symptoms: Shoulder pain has not subside. Extreme pain on muscles, too.

Release 11 — day 28, dose 4

2022-05-29

Symptoms: Extreme Pain in my shoulder. Hard to hold my hand hang and carry heavy stuff.

Release 11 — day 35, dose 4

2022-06-05

Symptoms: My arm and shoulder pain persists since the first COVID vaccine. I even massage and do my exercises that PT thought me. I've seen orthopaedic thinking it might be arthritis, but it's not.

Release 12 — day 42, dose 4

2022-06-12

Symptoms: Shoulder pain extreme. Pain is on and off. No finding from the doctor

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	Cough	·	·	✓
SD	Massage	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Periarthritis	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Sleep disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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