T7L-23605-23219

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 983 / WA
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-28
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Mastitis postpartum, Pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I believe I also have lactational mastitis, which may explain my fever and aches to some extent. I am 2 weeks postpartum.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
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)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Gingival ulceration, Mouth ulceration — Feeling: Good · Site: Pain

Free text: Mouth and gum ulceration, unsure if related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-15
Call 1 — Left Voicemail
2021-01-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-22
Dose 2 — Moderna
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Joint range of motion decreased, Pain in extremity — Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Very severe arm pain on the injection side. Cannot move my arm at the shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Joint range of motion decreased — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Can't use/abduct my arm on the side of the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Joint range of motion decreased — Feeling: Poor · Joint pains · Be unable to work, 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 have minimal soreness at the site but have decreased range of motion and my arm drops with flexion and abduction at just under 90 degrees. I believe this is related to the vaccine bring given too high/improper technique.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Poor · Joint pains · Be unable to work, 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 have severe pain when I try to lift my arm on the side of vaccine administration. I cannot lift my arm over my head or out in front of me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professional

Free text: I had a steroid injection and am regaining mobility in my shoulder that I lost after the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-19
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on upper arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Call successful
Does not wish to fill out VAERS report
2021-04-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-22	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): I believe I also have lactational mastitis, which may explain my fever and aches to some extent. I am 2 weeks postpartum.

2020-12-31

Systemic reaction (other): Mouth and gum ulceration, unsure if related.

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Very severe arm pain on the injection side. Cannot move my arm at the shoulder.

2021-01-24

Systemic reaction (other): Can't use/abduct my arm on the side of the injection.

2021-01-25

Systemic reaction (other): I have minimal soreness at the site but have decreased range of motion and my arm drops with flexion and abduction at just under 90 degrees. I believe this is related to the vaccine bring given too high/improper technique.

2021-01-26

Systemic reaction (other): I have severe pain when I try to lift my arm on the side of vaccine administration. I cannot lift my arm over my head or out in front of me.

2021-01-27

Healthcare visit (other): I had a steroid injection and am regaining mobility in my shoulder that I lost after the vaccine.

Release 4 — day 28, dose 2

2021-02-19

Symptoms: Rash on upper arms and legs

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	Mobility decreased	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Gingival pain	○	○	○
SRO	Gingival ulceration	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Mastitis postpartum	✓	✓	✓
SRO	Mouth ulceration	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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