6WQ-77479-26005

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 119 / NY
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shoulder pain where injected. Can not use my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Movement disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Where I was injected Im concerned. Because it is like they injected into bursa of left shoulder. When they were injecting I could feel it in shoulder. I feel this is why its hard to move my arm. I dont think they should inject that high up. Would like someone to tell me that it is ok that they did that. Cause I have concerns. · Healthcare visit (other): Spoke with physician I work for.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Mobility decreased, Sleep disorder — Feeling: Fair · Site: Pain

Free text: Shoulder pain to where I cant move arm or sleep. It is getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Site: Pain

Free text: Shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good · Site: Pain

Free text: Pain in the shoulder radiating down arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Call 1 — Left Voicemail
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Shoulder pain where injected. Can not use my arm

2021-01-31

Systemic reaction (other): Where I was injected Im concerned. Because it is like they injected into bursa of left shoulder. When they were injecting I could feel it in shoulder. I feel this is why its hard to move my arm. I dont think they should inject that high up. Would like someone to tell me that it is ok that they did that. Cause I have concerns.

Healthcare visit (other): Spoke with physician I work for.

2021-02-02

Systemic reaction (other): Shoulder pain to where I cant move arm or sleep. It is getting better

2021-02-03

Systemic reaction (other): Shoulder pain

2021-02-04

Systemic reaction (other): Pain in the shoulder radiating down arm

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Shoulder pain

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	Medical counselling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Movement disorder	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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