6N5-71573-86278

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 600 / IL
Registered: 2021-01-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-05
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-20
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exactly a week after the shot the pain in my shoulder came back to original pain level (last Tuesday night). Couldnt move arm w/o extreme pain. Now another wk later is is getting better and better again. About 80%normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-30
Dose 2 — Moderna
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Pain in shoulder joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-13
Survey response — day 14, dose 2
MedDRA: Arthralgia, Shoulder injury related to vaccine administration — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme shoulder pain again in beginning of week. Has gotten better again in last couple days. I still think its from the first shot in January - SIRVA. It comes and goes still!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-24
Call 1 — Left Voicemail
2022-01-30
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I got covid

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-01-30	Moderna

Call center

5 call center cases

2 unsuccessful · 3 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Exactly a week after the shot the pain in my shoulder came back to original pain level (last Tuesday night). Couldnt move arm w/o extreme pain. Now another wk later is is getting better and better again. About 80%normal.

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Pain in shoulder joint

Release 4 — day 14, dose 2

2021-02-13

Symptoms: Extreme shoulder pain again in beginning of week. Has gotten better again in last couple days. I still think its from the first shot in January - SIRVA. It comes and goes still!

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: I got covid

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	Pain	✓	✓	✓
SD	Shoulder injury related to vaccine administration	✓	·	✓
SRO	Arthralgia	✓	✓	✓

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