Y4J-18455-17405
2 vaccinations
7 coded responses
8 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 370 / TN
- Registered
- 2021-05-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-21
Dose 1 — Moderna
-
2021-05-29
Registered in v-safe
- 2021-05-29
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2021-06-04
Survey response — day 14, dose 1MedDRA: Pain in extremity, Sleep disorder — Feeling: PoorFree text: Left arm is herts more than before hard to sleep the pain keeps me awakeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Survey response — day 21, dose 1MedDRA: Pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Arm is really painfully to moveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Report sent to call center — day 21, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-06-19
Survey response — day 28, dose 1MedDRA: Pain in extremity, Self-medication — Feeling: Fair · Be unable to work or attend schoolFree text: My left arm is very sore had to start taking pain meds to take the pain away so I could workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
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2021-06-25
Survey response — day 35, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Arm is still sore and the pain is moving to the elbow . How much longer do I have to deal with this pain?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Survey response — day 42, dose 1MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: PoorFree text: Left arm still hurts at the shoulder and moves to the elbow hurts more when I straighten the arm or lift it above my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-22
Survey response — 3 months, dose 1MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Arm really hurts Doctor put me on steroids for a weekMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
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2021-11-10
Dose 2 — Moderna
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2021-11-19
Survey response — 6 months, dose 1MedDRA: Pain in extremity — Feeling: FairFree text: Pain is lower in my armMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-21 | Moderna | |
| 2 | 2021-11-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-11 | Unsuccessful | |
| 2021-08-22 | Unsuccessful |
Free text
Release 8 — day 14, dose 1
Symptoms: Left arm is herts more than before hard to sleep the pain keeps me awake
Release 9 — day 21, dose 1
Symptoms: Arm is really painfully to move
Release 9 — day 28, dose 1
Symptoms: My left arm is very sore had to start taking pain meds to take the pain away so I could work
Release 9 — day 35, dose 1
Symptoms: Arm is still sore and the pain is moving to the elbow . How much longer do I have to deal with this pain?
Release 9 — day 42, dose 1
Symptoms: Left arm still hurts at the shoulder and moves to the elbow hurts more when I straighten the arm or lift it above my head.
Release 9 — 3 months, dose 1
Symptoms: Arm really hurts Doctor put me on steroids for a week
Release 10 — 6 months, dose 1
Symptoms: Pain is lower in my arm
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release