YAU-21497-30615

4 vaccinations 6 coded responses 31 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 900 / CA
Registered: 2021-03-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-19
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Hypoaesthesia, Neuralgia, Pain in extremity — Feeling: Fair · Site: Pain, Redness · Be unable to do your normal daily activities

Free text: Nerve pain in shoulder & arm (same arm as injection), hand goes numb unless I hold arm & shoulder in particular position.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased, Neuralgia — Feeling: Fair · Site: Pain, Itching · Be unable to do your normal daily activities

Free text: Range of motion & nerve pain continue on injection side, pain & limited range of motion in shoulder and nerve from shoulder to elbow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Hypokinesia, Pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Limited range of motion in arm of injection, not resolving, pain in shoulder, cannot lift arm horizontally or vertically, pain will radiate down to elbow if I move it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Injected limb mobility decreased, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Limited range of motion in shoulder/arm of injection site, unable to put pressure on hand or lift arm/shoulder without sharp pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 2
MedDRA: Injection site pain, Mobility decreased, Pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Limited mobility on injection side shoulder & arm, cannot extend arm or shoulder without having sharp pain shooting from shoulder to elbow, cannot put pressure on hand/wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-25
Survey response — 12 months, dose 4
MedDRA: Aortic valve stenosis, Cardiac murmur, Hypertension — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna
3	2021-11-11	Moderna	No
4	2022-04-25	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Nerve pain in shoulder & arm (same arm as injection), hand goes numb unless I hold arm & shoulder in particular position.

2021-03-23

Systemic reaction (other): Range of motion & nerve pain continue on injection side, pain & limited range of motion in shoulder and nerve from shoulder to elbow.

2021-03-24

Systemic reaction (other): Limited range of motion in arm of injection, not resolving, pain in shoulder, cannot lift arm horizontally or vertically, pain will radiate down to elbow if I move it

2021-03-25

Systemic reaction (other): Limited range of motion in shoulder/arm of injection site, unable to put pressure on hand or lift arm/shoulder without sharp pain

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Limited mobility on injection side shoulder & arm, cannot extend arm or shoulder without having sharp pain shooting from shoulder to elbow, cannot put pressure on hand/wrist

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	Aortic valve stenosis	·	·	✓
SD	Cardiac murmur	·	·	✓
SD	Hypertension	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypokinesia	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release