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
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
-
2021-01-02
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-02
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: 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 visitFree 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 tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Incorrect route of product administration, Office visit — Feeling: Fair · Site: Pain · Joint pains · Get care from a doctor or other healthcare professionalFree 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 steroidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
-
2021-01-09
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-16
- 2021-01-25
-
2021-01-30
Dose 2 — Moderna
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2021-02-01
Call successfulDoes not wish to fill out VAERS report
- 2021-02-22
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-08-02
-
2021-09-29
Dose 3 — Moderna
- 2021-10-29
- 2021-11-03
- 2021-11-10
- 2021-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-09-29 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 1 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Incorrect route of product administration | ✓ | ✓ | ✓ |
| HCVO | Medical observation | ○ | ○ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Discomfort | ○ | ○ | ○ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Product administered at inappropriate site | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release