6KK-15369-45123
3 vaccinations
7 coded responses
8 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 200 / DC
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-02-03
Dose 2 — Moderna
-
2021-02-06
Registered in v-safe
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Injected limb mobility decreased, Muscle spasms, Muscular weakness, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Very large rash in my armpit of vaccinated arm and along inner arm. Day 1 of 2nd dose I was immobile and could not move my arm at all. Regained range of motion, but still having muscle spasms and weakness in the left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Hypoaesthesia, Rash — Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection siteFree text: Rash in the armpit improving, still some pain and intermittent numbness in shoulder jointMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Pain in extremity, Rash — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Rash in armpit has lightened but still itchy. Still have a weird numbness in the arm, and pain if I use the arm to prop myself up while lying downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Skin exfoliation — Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: The rash has started peeling like a sunburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
-
2021-05-05
Survey response — 3 months, dose 2MedDRA: Pustule, Rash — Feeling: FairFree text: Pustules in my armpits and a return of the rashy flaking. This has never happened before the vaccine rash, but could be entirely unrelated to that first rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-10-26
Dose 3 — Moderna
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Fatigue, Gait disturbance, Neuralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chronic fatigue, nerve pain, cervical instabilityMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Survey response — 12 months, dose 3MedDRA: Arthralgia, COVID-19, Fatigue, Mobility decreased, Musculoskeletal stiffness, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had covid in May 2022 with stiff neck (severe, could not get out of bed on my own) joint pain, fatigue, inability to stay awakeMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Very large rash in my armpit of vaccinated arm and along inner arm. Day 1 of 2nd dose I was immobile and could not move my arm at all. Regained range of motion, but still having muscle spasms and weakness in the left arm.
Systemic reaction (other): Rash in the armpit improving, still some pain and intermittent numbness in shoulder joint
Systemic reaction (other): Rash in armpit has lightened but still itchy. Still have a weird numbness in the arm, and pain if I use the arm to prop myself up while lying down
Systemic reaction (other): The rash has started peeling like a sunburn
Release 8 — 3 months, dose 2
Symptoms: Pustules in my armpits and a return of the rashy flaking. This has never happened before the vaccine rash, but could be entirely unrelated to that first rash
Release 11 — 6 months, dose 3
Symptoms: Chronic fatigue, nerve pain, cervical instability
Release 12 — 12 months, dose 3
Symptoms: I had covid in May 2022 with stiff neck (severe, could not get out of bed on my own) joint pain, fatigue, inability to stay awake
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Pustule | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release