YKM-17772-96283

2 vaccinations 12 coded responses 14 check-ins 12 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-03-10

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

Timeline

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

2021-02-08
Dose 1 — Moderna
2021-03-09
Dose 2 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Joint range of motion decreased, Limb mass, Mass, Mobility decreased, Pain in extremity, Rash — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Since 5 days post 1st dose of moderna Ive had severe pain in both arms . Still 3 weeks out. Cannot move out or above my head. Felt bumps in left arm which have gone down, but pea sz lump seems to be moving to upper arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Both arms have severe pain since 5 days post 1st vaccination on 2/08/21 · Healthcare visit (other): Visit to GP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hypokinesia, Office visit, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Severe arm pain , both arms. Can barely move them · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in both arms continue now week 4 !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle discomfort — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Both arms feel light my muscle is being shredded off the bones

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Both arms hurt , R arm less pain today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe pain in both arms since 5 days post 1st vaccination! Left arm has been worse than R arm for past 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 2
MedDRA: Muscle discomfort, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: My arms both still feel like the muscle is being shredded from my bones. Horrible . · Healthcare visit (other): Oncology office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — day 21, dose 2
MedDRA: Myalgia, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Please contact me , I cannot handle the pain! Both arms still severe pain Over 7 weeks now! Just let me know if this side effect of feeling like my muscles are being shredded off the bones is going to go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-04-14
Survey response — day 35, dose 2
MedDRA: Arthralgia, Medical counselling, Mobility decreased, Myalgia, Office visit, Self-medication — 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 visit

Free text: Symptoms: Worsened pain in shoulder joints both arms. 3 days ago had improved movement of arms while in 90 degree pool. Muscle pain has lessened with use of Aleve every 10-12 hours, moist heat packsHowever seems to be attacking my shoulder joints now. · Healthcare visit (other): In office and telephone follow up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Survey response — day 42, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Joint pain increased both shoulders muscle pain persisted . Having ultra sound done this week on arms due to lumps that developed 5 days post 1st vaccination of moderna

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-12-21
Call 1 — Left Voicemail
2022-03-09
Survey response — 12 months, dose 2
MedDRA: Muscle injury, Musculoskeletal disorder, Osteoarthritis, Pain in extremity, Tendon injury, Unevaluable event — 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 consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Well, the severe arm pain that I was reporting . Being ignored by Physician. Turned out the shredding pain and limited movement showed not only muscle, tendon damage but shoulder is now bone on bone , no joint fluid left. · Healthcare visit (other): x-rays, MRI, ULTRASOUND

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-10
Call 1 — Left Voicemail
2022-03-14
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-11	Successful	Does not wish to fill out VAERS report
2021-03-12	Successful	Does not wish to fill out VAERS report
2021-03-24	Successful	Does not wish to fill out VAERS report
2021-03-30	Successful	Does not wish to fill out VAERS report
2021-04-14	Successful	Does not wish to fill out VAERS report
2021-04-20	Successful	Does not wish to fill out VAERS report
2022-03-09	Successful 2022-03-14	Does not wish to fill out VAERS report

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Since 5 days post 1st dose of moderna Ive had severe pain in both arms . Still 3 weeks out. Cannot move out or above my head. Felt bumps in left arm which have gone down, but pea sz lump seems to be moving to upper arm

2021-03-11

Systemic reaction (other): Both arms have severe pain since 5 days post 1st vaccination on 2/08/21

Healthcare visit (other): Visit to GP

2021-03-12

Systemic reaction (other): Severe arm pain , both arms. Can barely move them

Healthcare visit (other): Dr office visit

2021-03-13

Systemic reaction (other): Pain in both arms continue now week 4 !

2021-03-14

Systemic reaction (other): Both arms feel light my muscle is being shredded off the bones

2021-03-15

Systemic reaction (other): Both arms hurt , R arm less pain today

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Severe pain in both arms since 5 days post 1st vaccination! Left arm has been worse than R arm for past 2 days

Release 6 — day 14, dose 2

2021-03-24

Symptoms: My arms both still feel like the muscle is being shredded from my bones. Horrible .

Healthcare visit (other): Oncology office visit

Release 6 — day 21, dose 2

2021-03-30

Symptoms: Please contact me , I cannot handle the pain! Both arms still severe pain Over 7 weeks now! Just let me know if this side effect of feeling like my muscles are being shredded off the bones is going to go away

Release 7 — day 35, dose 2

2021-04-14

Symptoms: Worsened pain in shoulder joints both arms. 3 days ago had improved movement of arms while in 90 degree pool. Muscle pain has lessened with use of Aleve every 10-12 hours, moist heat packsHowever seems to be attacking my shoulder joints now.

Healthcare visit (other): In office and telephone follow up

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Joint pain increased both shoulders muscle pain persisted . Having ultra sound done this week on arms due to lumps that developed 5 days post 1st vaccination of moderna

Release 11 — 12 months, dose 2

2022-03-09

Symptoms: Well, the severe arm pain that I was reporting . Being ignored by Physician. Turned out the shredding pain and limited movement showed not only muscle, tendon damage but shoulder is now bone on bone , no joint fluid left.

Healthcare visit (other): x-rays, MRI, ULTRASOUND

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle discomfort	✓	✓	✓
SD	Muscle injury	·	·	✓
SD	Musculoskeletal disorder	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Osteoarthritis	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Tendon injury	·	·	✓
SRO	Hypokinesia	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Limb mass	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓

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