VAJ-13580-78026
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 329 / FL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-06
Dose 1 — Moderna
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2021-04-08
Registered in v-safe
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Health check-in — day 7, dose 1Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-22
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2021-04-29
Survey response — day 21, dose 1MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My arm where I got my vaccine hurts really bad I cant life it up hurts by the elbow areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 28, dose 1MedDRA: Mobility decreased, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My left arm still hurts I can hardly bend itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-05-19
Dose 2 — Moderna
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2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-26
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-18
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Shortness of breath, arm still hurtsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-18
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-18 | Unsuccessful |
Free text
Release 8 — day 21, dose 1
Symptoms: My arm where I got my vaccine hurts really bad I cant life it up hurts by the elbow area
Release 8 — day 28, dose 1
Symptoms: My left arm still hurts I can hardly bend it
Release 9 — 3 months, dose 2
Symptoms: Shortness of breath, arm still hurts
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 | Dyspnoea | ✓ | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release