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6KZ-25917-05498

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
040 / ME
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-08
    Dose 1 — Moderna
  2. 2021-02-10
    Registered in v-safe
  3. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-08
    Dose 2 — Moderna
  12. 2021-03-15
    Survey response — day 7, dose 2
    MedDRA: Chills, Injection site erythema, Injection site swelling — Feeling: Good
    Free text: Had chills and low grade temp 3/9, large area swelling and redness at site of injection. Swelling and redness lasted 5 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-12
    Survey response — day 35, dose 2
    MedDRA: Limb discomfort, Musculoskeletal discomfort — Feeling: Good
    Free text: Moderate shoulder and left arm discomfort, mild discomfort right arm and shoulder ....
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-07
    Survey response — 3 months, dose 2
    MedDRA: Office visit, Periarthritis, Physiotherapy, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Dx with adhesive capsulitis/frozen shoulder on left; initially treated with tapering dose of prednisone. Now on tylenol es and physical therapy weekly. · Healthcare visit (other): Office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-07
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-09-06
    Survey response — 6 months, dose 2
    MedDRA: Joint range of motion decreased, Office visit, Periarthritis, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Developed frozen shoulder on left, where I had gotten my second Moderna shot. Participated in six weeks of physical therapy ending +/- July 1st. Still have residual limited ROM on left upper extremity. · Healthcare visit (other): MD visit, PT X 6 weeks
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-09-06
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-09-10
  23. 2022-03-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-08Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-15

Systemic reaction (other): Had chills and low grade temp 3/9, large area swelling and redness at site of injection. Swelling and redness lasted 5 days.

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Moderate shoulder and left arm discomfort, mild discomfort right arm and shoulder ....

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Dx with adhesive capsulitis/frozen shoulder on left; initially treated with tapering dose of prednisone. Now on tylenol es and physical therapy weekly.
Healthcare visit (other): Office visit

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Developed frozen shoulder on left, where I had gotten my second Moderna shot. Participated in six weeks of physical therapy ending +/- July 1st. Still have residual limited ROM on left upper extremity.
Healthcare visit (other): MD visit, PT X 6 weeks

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
HCVOOffice visit ✓ ✓ ✓
HCVOPhysiotherapy ✓ · ✓
SDJoint range of motion decreased ✓ · ✓
SDLimb discomfort ✓ ✓ ✓
SDMusculoskeletal discomfort ✓ ✓ ✓
SDPeriarthritis ✓ ✓ ✓
SDPhysiotherapy ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓

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