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
-
2021-02-08
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
-
2021-03-15
Survey response — day 7, dose 2MedDRA: Chills, Injection site erythema, Injection site swelling — Feeling: GoodFree 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
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Survey response — day 35, dose 2MedDRA: Limb discomfort, Musculoskeletal discomfort — Feeling: GoodFree 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
- 2021-04-19
-
2021-06-07
Survey response — 3 months, dose 2MedDRA: Office visit, Periarthritis, Physiotherapy, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-06
Survey response — 6 months, dose 2MedDRA: Joint range of motion decreased, Office visit, Periarthritis, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 weeksMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 7, dose 2
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
Symptoms: Moderate shoulder and left arm discomfort, mild discomfort right arm and shoulder ....
Release 8 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Physiotherapy | ✓ | · | ✓ |
| SD | Joint range of motion decreased | ✓ | · | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Periarthritis | ✓ | ✓ | ✓ |
| SD | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release