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Z4J-13343-43318

2 vaccinations 6 coded responses 6 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
373 / TN
Registered
2021-04-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-04-19
    Dose 2 — Moderna
  3. 2021-04-29
    Registered in v-safe
  4. 2021-04-29
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Continually since the first shot and continually ongoing after the second shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-03
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Mobility decreased, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Same issues with shot recipient/left arm. Cant lift about shoulder, painful all the way into shoulder joint.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-10
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continual arm pain where both shots were located. Both shots
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-19
    Survey response — day 28, dose 2
    MedDRA: Immunisation reaction, Mobility decreased, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cant lift left, injection arm about my shoulder. Still painful from first Covid shot in March.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-24
    Survey response — day 35, dose 2
    MedDRA: Limb discomfort, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cannot move my left arm above my shoulder with pain and the feeling of being weighted down. Very uncomfortable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-21
    Survey response — 3 months, dose 2
    MedDRA: Injected limb mobility decreased — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Arm with shot continuously struggling to raise above my shoulder.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-19Moderna

Free text

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Continually since the first shot and continually ongoing after the second shot.

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Same issues with shot recipient/left arm. Cant lift about shoulder, painful all the way into shoulder joint.

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Continual arm pain where both shots were located. Both shots

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Cant lift left, injection arm about my shoulder. Still painful from first Covid shot in March.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Cannot move my left arm above my shoulder with pain and the feeling of being weighted down. Very uncomfortable.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Arm with shot continuously struggling to raise above my shoulder.

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 ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDInjected limb mobility decreased · · ✓
SDLimb discomfort ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDVaccine positive rechallenge ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓

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