XYL-78442-08308
4 vaccinations
1 coded response
14 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Pain in extremity, Reaction to previous exposure to any vaccine, Rotator cuff repair — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-17
- 2021-03-18
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-07-08
- 2021-10-07
-
2021-10-08
Dose 3 — ModernaCo-administered: Flu
- 2021-10-30
-
2022-04-07
Dose 4 — ModernaCo-administered: Pneumonia
- 2022-04-08
- 2022-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-08 | Moderna | Flu |
| 4 | 2022-04-07 | Moderna | Pneumonia |
Free text
Release 5
Systemic reaction (other): I'm fine now, but for about 24 hrs. after my 1st Moderna shot, I had fairly severe pain (muscle spasm) in the OPPOSITE arm from where I had the injection. I had had rotator cuff repair surgery on that side FIVE years ago, and had the same response from my Shingrix vaccine, although I had opted for that shot on the side where I did have the surgery. Have you heard of this tyoe of "referrerd pain"?
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Rotator cuff repair | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release