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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

  1. 2021-01-04
    Dose 1 — Moderna
  2. 2021-02-03
    Dose 2 — Moderna
  3. 2021-02-06
    Registered in v-safe
  4. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  5. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Hypoaesthesia, Rash — Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection site
    Free text: Rash in the armpit improving, still some pain and intermittent numbness in shoulder joint
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Pain in extremity, Rash — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free 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 down
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Skin exfoliation — Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: The rash has started peeling like a sunburn
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-05-05
    Survey response — 3 months, dose 2
    MedDRA: Pustule, Rash — Feeling: Fair
    Free 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 rash
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-10-26
    Dose 3 — Moderna
  11. 2022-04-27
    Survey response — 6 months, dose 3
    MedDRA: Fatigue, Gait disturbance, Neuralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chronic fatigue, nerve pain, cervical instability
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-10-26
    Survey response — 12 months, dose 3
    MedDRA: 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 consultation
    Free 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 awake
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-10-26
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  14. 2022-10-28

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-03Moderna
32021-10-26Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

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.

2021-02-07

Systemic reaction (other): Rash in the armpit improving, still some pain and intermittent numbness in shoulder joint

2021-02-08

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

2021-02-09

Systemic reaction (other): The rash has started peeling like a sunburn

Release 8 — 3 months, dose 2

2021-05-05

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

2022-04-27

Symptoms: Chronic fatigue, nerve pain, cervical instability

Release 12 — 12 months, dose 3

2022-10-26

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

FieldPreferred term2021-092023-042024-11
SDArthralgia · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDGait disturbance · · ✓
SDMobility decreased · · ✓
SDMusculoskeletal stiffness · · ✓
SDNeuralgia · · ✓
SDPustule ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSomnolence · · ✓
SROArthralgia ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSkin exfoliation ✓ ✓ ✓

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