66Z-32281-95640

4 vaccinations 10 coded responses 20 check-ins 10 free-text entries 0 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 261 / WV
Registered: 2021-10-30

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-24
Dose 1 — Moderna
2021-04-21
Dose 2 — Moderna
2021-10-29
Dose 3 — Moderna
2021-10-30
Registered in v-safe
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches

Free text: Most noticable joint pain is where tight collarbone meets sternum. Most noticable muscle pain is in soft tissue of right palm at base of right thumb.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Headache, Myalgia, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Free text: Muscle ache/pain in palm of right hand base of thumb feels about the same compared to yesterday. Headache, joint pain and all other muscle or body aches feel more mild compared to yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pain, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Minor aches/pains in right collarbone and in right palm below thumb, just like before but a little more mild.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pain, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches

Free text: Very mild pain where right collarbone meets sternum and mild achiness in palm of right hand at base of thumb.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches

Free text: Very mild pain in joint where right collarbone meets sternum and very mild ache in right palm below thumb.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Mild pain in joint where right collarbone meets sternum.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Mild joint pain where right collarbone meets sternum.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-26
Dose 4 — Moderna
2022-05-01
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Pain — Feeling: Good

Free text: Pain in left wrist when using it.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Office visit, Physiotherapy, Rotator cuff syndrome — Feeling: Good · Be unable to do your normal daily activities

Free text: Injured left shoulder rotator cuff, but not sure how it happened. Went to bed in 1st week of April without pain or injury symptoms, but woke up next day with pain in shoulder. Went to doctor, diagnosed rotator cuff injury, now doing physical therapy.

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna	No
2	2021-04-21	Moderna	No
3	2021-10-29	Moderna	No
4	2022-04-26	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Most noticable joint pain is where tight collarbone meets sternum. Most noticable muscle pain is in soft tissue of right palm at base of right thumb.

2021-10-31

Systemic reaction (other): Muscle ache/pain in palm of right hand base of thumb feels about the same compared to yesterday. Headache, joint pain and all other muscle or body aches feel more mild compared to yesterday.

2021-11-01

Systemic reaction (other): Minor aches/pains in right collarbone and in right palm below thumb, just like before but a little more mild.

2021-11-02

Systemic reaction (other): Very mild pain where right collarbone meets sternum and mild achiness in palm of right hand at base of thumb.

2021-11-03

Systemic reaction (other): Very mild pain in joint where right collarbone meets sternum and very mild ache in right palm below thumb.

2021-11-04

Systemic reaction (other): Mild pain in joint where right collarbone meets sternum.

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Mild joint pain where right collarbone meets sternum.

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Headache

Release 11 — 6 months, dose 3

2022-05-01

Symptoms: Pain in left wrist when using it.

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Injured left shoulder rotator cuff, but not sure how it happened. Went to bed in 1st week of April without pain or injury symptoms, but woke up next day with pain in shoulder. Went to doctor, diagnosed rotator cuff injury, now doing physical therapy. 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	Arthralgia	·	·	✓
SD	Headache	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Headache	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓

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