Y7Z-69661-04339
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 910 / CA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-23
Dose 2 — Moderna
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Radiculitis brachial — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Brachial neuritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 7, dose 2MedDRA: Arthralgia, Pyrexia, Radiculitis brachial — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: 103.5 fever day of shot, 102 fever next day and debilitating shoulder pain. Brachial neuritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-07
Survey response — day 14, dose 2MedDRA: Acupuncture, Arthralgia, Hypoaesthesia, Immunisation reaction, Impaired work ability, Loss of personal independence in daily activities, Mobility decreased, Muscle twitching, Neuralgic amyotrophy, Office visit, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Numb right hand, fingers, pain in elbow, forearm. Numbness in armpit. Twitching muscles in shoulder, upper arm. Vaccine caused Parsonage-Turner syndrome leaving me in severe pain, difficulty working, requiring care/assistance at home for daily tasks · Healthcare visit (other): Primary, ortho, neurologist, accupunctureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
-
2021-05-21
Survey response — day 28, dose 2MedDRA: Arthralgia, Asthenia, Chest pain, Hypoaesthesia, Neuralgic amyotrophy, Paraesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Weakness, numbness, and tingling in right hand, thumb, index finger, middle finger. Pain in chest muscles near armpit. EMG show damage to 2 branches from the break youll plexus. Diagnosis Parsonage-Turner syndrome caused by the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-22
- 2022-04-14
-
2022-04-15
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-30 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-05-07 | Successful 2022-04-15 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Brachial neuritis
Release 8 — day 7, dose 2
Systemic reaction (other): 103.5 fever day of shot, 102 fever next day and debilitating shoulder pain. Brachial neuritis
Release 8 — day 14, dose 2
Symptoms: Numb right hand, fingers, pain in elbow, forearm. Numbness in armpit. Twitching muscles in shoulder, upper arm. Vaccine caused Parsonage-Turner syndrome leaving me in severe pain, difficulty working, requiring care/assistance at home for daily tasks cut off by CDC
Healthcare visit (other): Primary, ortho, neurologist, accupuncture
Release 8 — day 28, dose 2
Symptoms: Weakness, numbness, and tingling in right hand, thumb, index finger, middle finger. Pain in chest muscles near armpit. EMG show damage to 2 branches from the break youll plexus. Diagnosis Parsonage-Turner syndrome caused by the vaccine.
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 | Acupuncture | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Neuralgic amyotrophy | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Radiculitis brachial | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release