6BT-29430-22910
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 778 / TX
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-02-05
Dose 2 — Moderna
-
2021-02-07
Registered in v-safe
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Arthritis — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Chronic shoulder/elbow issue became inflammed gradually since date of 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Medical counselling, Myalgia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Joint and muscle pain seem to be from a chronic shoulder issue in my right arm. 2nd dose of vaccine was give on left arm. · Healthcare visit (other): Phone consult with nurse. Ade referral for shoulder painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Self-medication — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Each of these seem to be due to shoulder pain and use of OTC pain meds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Myalgia, Office visit — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Saw Ortho doc for shoulder · Healthcare visit (other): Ortho doc for muscle aches and joint pains. He said all related to shoulder issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-07-22
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2021-10-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Chronic shoulder/elbow issue became inflammed gradually since date of 2nd dose.
Systemic reaction (other): Joint and muscle pain seem to be from a chronic shoulder issue in my right arm. 2nd dose of vaccine was give on left arm.
Healthcare visit (other): Phone consult with nurse. Ade referral for shoulder pain
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Each of these seem to be due to shoulder pain and use of OTC pain meds.
Systemic reaction (other): Saw Ortho doc for shoulder
Healthcare visit (other): Ortho doc for muscle aches and joint pains. He said all related to shoulder issues.
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 | Arthralgia | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Myalgia | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release