5X3-10027-81472

2 vaccinations 7 coded responses 7 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 491 / MI
Registered: 2021-03-12

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

Timeline

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

2021-02-09
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Mobility decreased, Pain in extremity — Feeling: Poor · Site: Pain · Chills, Nausea · Be unable to do your normal daily activities

Free text: I can barely lift my arm. Pain is throughout the arm not just at site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I was in the ER last night for severe arm pain. The injection site was noticed to be too high.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Mobility decreased, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): I am still experiencing a lot pain and very limited use in the arm I was vaccinated. · Healthcare visit (other): I was in the ER the night I received the vaccination with severe pain and inability to move my arm. The pain persists regardless of the prescriptions I was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Office visit, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pain in shoulder front and back and thru arm and hand. Fingers are tingly. · Healthcare visit (other): Primary doctor visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still experiencing pain throughout arm from injection · Healthcare visit (other): Orthopedic Office Visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Be unable to do your normal daily activities

Free text: pain throughout the arm and hands and tingling in fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 2
MedDRA: Joint range of motion decreased, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Arm is still sore with limited range of motion, tingling hand and fingers on the side vaccination was received.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-12-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-12	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): I can barely lift my arm. Pain is throughout the arm not just at site.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): I was in the ER last night for severe arm pain. The injection site was noticed to be too high.

2021-03-14

Systemic reaction (other): I am still experiencing a lot pain and very limited use in the arm I was vaccinated.

Healthcare visit (other): I was in the ER the night I received the vaccination with severe pain and inability to move my arm. The pain persists regardless of the prescriptions I was given.

2021-03-15

Systemic reaction (other): Pain in shoulder front and back and thru arm and hand. Fingers are tingly.

Healthcare visit (other): Primary doctor visit.

2021-03-16

Systemic reaction (other): Still experiencing pain throughout arm from injection

Healthcare visit (other): Orthopedic Office Visit

2021-03-18

Systemic reaction (other): pain throughout the arm and hands and tingling in fingers

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Arm is still sore with limited range of motion, tingling hand and fingers on the side vaccination was received.

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	Emergency care	✓	✓	✓
HCVO	Mobility decreased	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain in extremity	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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