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6H6-24412-04704

3 vaccinations 2 coded responses 19 check-ins 2 free-text entries 4 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
752 / TX
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Registered in v-safe
  2. 2021-01-02
    Dose 1 — Moderna
  3. 2021-01-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-02
    Report sent to call center — day 0, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Joint range of motion decreased, Limb discomfort, Product administered at inappropriate site — Feeling: Poor · Site: Pain, Swelling · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I am a physician. The shot administered yesterday was too high up closer to the deltoid bursa or joint capsule. It was uncomfortable at the time and got progressively worse with loss of range of motion. I have been started on prednisone and am to have an ultrasound of the joint and a steroid shot into the joint by orthopedics tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    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)
  7. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Incorrect route of product administration, Office visit — Feeling: Fair · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional
    Free text: Saw orthopedic surgeo for a steroid shot in my shoulder because they put my shot in my shoulder joint instead of my deltoid and started me on oral steroids
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-04
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  10. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  12. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  13. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-01-09
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  15. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-01-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-01-30
    Dose 2 — Moderna
  18. 2021-02-01
    Call successful
    Does not wish to fill out VAERS report
  19. 2021-02-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-29
    Dose 3 — Moderna
  25. 2021-10-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna
32021-09-29Moderna No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): I am a physician. The shot administered yesterday was too high up closer to the deltoid bursa or joint capsule. It was uncomfortable at the time and got progressively worse with loss of range of motion. I have been started on prednisone and am to have an ultrasound of the joint and a steroid shot into the joint by orthopedics tomorrow

2021-01-04

Healthcare visit (other): Saw orthopedic surgeo for a steroid shot in my shoulder because they put my shot in my shoulder joint instead of my deltoid and started me on oral steroids

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

FieldPreferred term2021-092023-042024-11
HCVOIncorrect route of product administration ✓ ✓ ✓
HCVOMedical observation ○ ○ ○
HCVOOffice visit ✓ ✓ ✓
SRODiscomfort ○ ○ ○
SROJoint range of motion decreased ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROProduct administered at inappropriate site ✓ ✓ ✓

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