Y2G-75763-67743
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
- 2021-03-15
- 2021-03-17
- 2021-03-24
-
2021-03-25
Dose 2 — Moderna
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Mobility decreased, Pain — Feeling: Good · Site: PainFree text: I had excruciating pain the day after the vaccine. I could not move my arm more than one inch. Pain relievers did not help. Pain continued the next day, but not as severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-08
Survey response — day 14, dose 2MedDRA: Injection site pain, Pain, Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continued soreness in arm when I move it. It is difficult to sleep that side. Possibly SIRVA? (Shoulder Injury Related to Vaccine Administration) When given the vaccine, it felt like it went into the bone or ligament- not muscle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-06-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I had excruciating pain the day after the vaccine. I could not move my arm more than one inch. Pain relievers did not help. Pain continued the next day, but not as severe.
Release 7 — day 14, dose 2
Symptoms: Continued soreness in arm when I move it. It is difficult to sleep that side. Possibly SIRVA? (Shoulder Injury Related to Vaccine Administration) When given the vaccine, it felt like it went into the bone or ligament- not muscle.
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release