RJM-18551-72232
4 vaccinations
4 coded responses
14 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 913 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
-
2021-02-13
Dose 2 — Moderna
- 2021-03-08
- 2021-03-14
- 2021-03-20
- 2021-03-27
- 2021-05-16
- 2021-08-16
-
2021-11-27
Dose 3 — Moderna
- 2022-02-13
-
2022-05-30
Survey response — 6 months, dose 3MedDRA: Arthralgia, Back pain, Chest pain, Pain, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chronic pain in my right arm near elbow and shoulder, left chest pain and shoulder -upper and lower back.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-01
Call successfulCompleted over the phone
-
2022-11-01
Dose 4 — ModernaCo-administered: Flu:Other
-
2022-11-27
Survey response — day 21, dose 4MedDRA: Antinuclear antibody positive, Cholelithiasis, Menstrual disorder, Pre-existing disease, Skin mass, Thrombocytopenia, Uterine leiomyoma — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chronic pain (near elbow,chest wall, Thrombocytopia ANA positive Galstone Left wrist dorsal skin mass * multiple fibroids Menstrual disorderMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Survey response — 12 months, dose 3MedDRA: Antinuclear antibody positive, Arthralgia, Cholelithiasis, Limb mass, Menstrual disorder, Musculoskeletal chest pain, Pain, Thrombocytopenia, Uterine leiomyoma — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chronic pain (near elbow,chest wall, Thrombocytopia ANA positive Galstone Left wrist dorsal skin mass * multiple fibroids Menstrual disorderMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-27
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-28
- 2022-11-28
- 2022-12-05
- 2022-12-06
-
2022-12-15
Survey response — day 42, dose 4MedDRA: Fear, Pain in extremity — Feeling: FairFree text: I felt the same pain like in my right arm just 1 day and 1 night. ( makes me scared) But im raking prescription med. every day/night.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Call successfulNot applicable - Accidental Reporting
-
2022-12-15
Call successfulNot applicable - Accidental Reporting
- 2023-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-11-01 | Moderna | Flu:Other |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 11 — 6 months, dose 3
Symptoms: Chronic pain in my right arm near elbow and shoulder, left chest pain and shoulder -upper and lower back.
Release 12 — 12 months, dose 3
Symptoms: Chronic pain (near elbow,chest wall, Thrombocytopia ANA positive Galstone Left wrist dorsal skin mass * multiple fibroids Menstrual disorder
Release 12 — day 21, dose 4
Symptoms: Chronic pain (near elbow,chest wall, Thrombocytopia ANA positive Galstone Left wrist dorsal skin mass * multiple fibroids Menstrual disorder
Release 12 — day 42, dose 4
Symptoms: I felt the same pain like in my right arm just 1 day and 1 night. ( makes me scared) But im raking prescription med. every day/night.
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 | Antinuclear antibody positive | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cholelithiasis | · | · | ✓ |
| SD | Fear | · | · | ✓ |
| SD | Limb mass | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Skin mass | · | · | ✓ |
| SD | Thrombocytopenia | · | · | ✓ |
| SD | Uterine leiomyoma | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release