YQT-12086-86251
2 vaccinations
6 coded responses
9 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 605 / IL
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activitiesFree text: My trapezius, shoulder and entire arm are painful. Anti inflammatory medicines do not eliminate the pain. I felt pain the moment the injection went in, and 3 hours later it was very painful. I can barely move my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: My arm is very painful, but it also includes my shoulder and trapezius. The pain goes all the way to my wrist as wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Office visit, Pain — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My shoulder, trapezius, rotator cuff all hurt. The pain radiates to my elbow and wrist. · Healthcare visit (other): Primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have pain in my shoulder, trapezius and entire arm. · Healthcare visit (other): Primary physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-17
Survey response — day 7, dose 1MedDRA: Arthralgia, Myalgia, Office visit, Pain in extremity — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My trapezius, entire arm and rotator cuff hurt. · Healthcare visit (other): Primary physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-11
Dose 2 — Moderna
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Tachycardia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-15 | Unsuccessful | |
| 2021-02-16 | Unsuccessful | |
| 2021-02-17 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My trapezius, shoulder and entire arm are painful. Anti inflammatory medicines do not eliminate the pain. I felt pain the moment the injection went in, and 3 hours later it was very painful. I can barely move my arm.
Systemic reaction (other): My arm is very painful, but it also includes my shoulder and trapezius. The pain goes all the way to my wrist as well
Systemic reaction (other): My shoulder, trapezius, rotator cuff all hurt. The pain radiates to my elbow and wrist.
Healthcare visit (other): Primary care physician
Systemic reaction (other): I have pain in my shoulder, trapezius and entire arm.
Healthcare visit (other): Primary physician
Release 4 — day 7, dose 1
Systemic reaction (other): My trapezius, entire arm and rotator cuff hurt.
Healthcare visit (other): Primary physician
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Tachycardia
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 | Office visit | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release