6UV-25672-10625
4 vaccinations
6 coded responses
32 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 897 / NV
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
-
2020-12-26
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Injection site joint pain, Product administered at inappropriate site — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree text: I was injected in the upper (and more posterior) area of my right arm. I experienced significant pain in the anterior shoulder joint. I was unable to addictive across my body, abduct to the right, and couldn't reach above my head. These symptoms began the morning after injection and continued for approximately 60hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-26
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-27
- 2020-12-29
- 2021-01-05
-
2021-01-12
Survey response — day 21, dose 1MedDRA: Joint range of motion decreased, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My arm pain has returned. Decreased range of motion, pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Dose 2 — Moderna
-
2021-01-19
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache · Be unable to do your normal daily activitiesFree text: Feeling woozy about 20min after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Slept AWFUL night of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-03
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-04-20
- 2021-07-20
-
2021-12-17
Dose 3 — Moderna
- 2022-01-19
-
2022-10-13
Dose 4 — ModernaCo-administered: Flu
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
-
2022-11-17
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Congestion, cough, fatigueMedDRA releases: 2024-11 · check-in free text available
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2023-01-12
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Sinus congestion — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-10-13 | Moderna | Flu |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I was injected in the upper (and more posterior) area of my right arm. I experienced significant pain in the anterior shoulder joint. I was unable to addictive across my body, abduct to the right, and couldn't reach above my head. These symptoms began the morning after injection and continued for approximately 60hours.
Release 1 — day 21, dose 1
Symptoms: My arm pain has returned. Decreased range of motion, pain.
Release 2 — day 0, dose 2
Systemic reaction (other): Feeling woozy about 20min after injection
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Slept AWFUL night of injection
Release 12 — day 35, dose 4
Symptoms: Congestion, cough, fatigue
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Arthralgia | ○ | ○ | ○ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site joint pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ○ | ○ | ○ |
| SRO | Product administered at inappropriate site | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release