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YLC-25972-55857

2 vaccinations 3 coded responses 8 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
435 / OH
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-01-28
    Dose 2 — Moderna
  5. 2021-02-04
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Joint range of motion decreased — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: My first vaccine on 12/31 in my right arm is still causing shoulder pain and some painful range of motion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-11
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Pain — Feeling: Good
    Free text: My first vaccine was 12/31/20. I believe the person who gave me the injection went into by bursa. I still have pain in my right shoulder and it is painful to lift my arm. My second vaccine was in my left arm and it is fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-18
    Survey response — day 21, dose 2
    MedDRA: Medical counselling, Shoulder injury related to vaccine administration — Feeling: Good
    Free text: Signs of SIRVA, Rt shoulder. Didn't make an appt with doctor but consulted an ortho surgeon.Not able to exercise.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Free text

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): My first vaccine on 12/31 in my right arm is still causing shoulder pain and some painful range of motion

Release 4 — day 14, dose 2

2021-02-11

Symptoms: My first vaccine was 12/31/20. I believe the person who gave me the injection went into by bursa. I still have pain in my right shoulder and it is painful to lift my arm. My second vaccine was in my left arm and it is fine.

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Signs of SIRVA, Rt shoulder. Didn't make an appt with doctor but consulted an ortho surgeon.Not able to exercise.

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDShoulder injury related to vaccine administration ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROJoint range of motion decreased ✓ ✓ ✓

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