5KM-30713-57152
4 vaccinations
4 coded responses
44 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 940 / CA
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Registered in v-safe
-
2021-03-21
Dose 1 — Moderna
- 2021-03-21
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-04-04
- 2021-04-11
-
2021-04-18
Dose 2 — Moderna
-
2021-04-18
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-05-02
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Muscle in left vaccinated arm had some strong twinges of muscle painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-07-18
- 2021-10-17
-
2021-12-09
Dose 3 — Moderna
- 2021-12-11
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-10
-
2022-04-09
Dose 4 — Moderna
-
2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-16
- 2022-04-23
-
2022-04-30
Survey response — day 21, dose 4MedDRA: Injection site pain, Pain — Feeling: FairFree text: The muscle in my left arm where the Covid shot was given is very sore. Hurts to move my arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-07
Survey response — day 28, dose 4MedDRA: Injection site pain, No reaction on previous exposure to drug, Pre-existing disease — Feeling: FairFree text: I had my shot in my left arm and that muscle in the top part of my arm keeps hurting I have had no problem with my three other shots but this last dose I don't know if it acted up my fibromyalgia but my muscle in my arm it's just sore and if I use itMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-21
- 2022-07-09
- 2022-10-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-18 | Moderna | |
| 3 | 2021-12-09 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): No
Release 8 — day 14, dose 2
Symptoms: Muscle in left vaccinated arm had some strong twinges of muscle pain
Release 11 — day 21, dose 4
Symptoms: The muscle in my left arm where the Covid shot was given is very sore. Hurts to move my arm.
Release 11 — day 28, dose 4
Symptoms: I had my shot in my left arm and that muscle in the top part of my arm keeps hurting I have had no problem with my three other shots but this last dose I don't know if it acted up my fibromyalgia but my muscle in my arm it's just sore and if I use it cut off by CDC
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | No reaction on previous exposure to drug | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release