Z2T-29351-57244

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 970 / OR
Registered: 2021-02-06

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 21, dose 1
MedDRA: Pain in extremity, Sleep disorder — Feeling: Good

Free text: My left arm is still sore. Im having trouble sleeping on it, so Im waking up a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Dose 2 — Moderna
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My left arm still hurts from first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-03
Survey response — day 28, dose 2
MedDRA: Joint range of motion decreased, Pain, Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: My left arm still hurts since the first shot on February 6th. Ive had a massage, acupuncture, and I have a follow up appointment with my primary care physician next week. Poor range of motion, dull ache all day and it wakes me at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 35, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left arm still hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 42, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: left arm is getting worse · Healthcare visit (other): primary care in person visit

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 work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-06
Survey response — 3 months, dose 2
MedDRA: Acupuncture, Arthralgia, Insomnia, Joint range of motion decreased, Office visit, Pain in extremity, Physiotherapy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Left arm / shoulder is worse - low range of motion, difficult to sleep, pain · Healthcare visit (other): Primary care, physical therapy, acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-05
Call 1 — Left Voicemail
2022-03-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Unsuccessful
2021-06-06	Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-02-27

Symptoms: My left arm is still sore. Im having trouble sleeping on it, so Im waking up a lot.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): My left arm still hurts from first shot

Release 6 — day 28, dose 2

2021-04-03

Symptoms: My left arm still hurts since the first shot on February 6th. Ive had a massage, acupuncture, and I have a follow up appointment with my primary care physician next week. Poor range of motion, dull ache all day and it wakes me at night.

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Left arm still hurts

Release 7 — day 42, dose 2

2021-04-20

Symptoms: left arm is getting worse

Healthcare visit (other): primary care in person visit

Release 8 — 3 months, dose 2

2021-06-06

Symptoms: Left arm / shoulder is worse - low range of motion, difficult to sleep, pain

Healthcare visit (other): Primary care, physical therapy, acupuncture

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	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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