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Z93-19439-61900

1 vaccination 2 coded responses 10 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
167 / PA
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-03
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-10
    Survey response — day 35, dose 1
    MedDRA: Arthralgia, Feeling hot, Office visit, Swelling — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Shoulder pain,had since December, but didn't relate to Co-vid. Now I am wondering due to info I am reading.Been to ortho x-ray and MRI done.Still no better.Both arms affected, done swelling and warmth.Appling ice like instructed, but no better. · Healthcare visit (other): In office visit x3
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-10
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-06-05
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, COVID-19, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I started having left shoulder pain 2 weeks after co-vid in Nov. and it has spread to my right shoulder. Hoping it will go away.I have had cortisone etc.Any advice?? · Healthcare visit (other): Office visit,x-ray and MRI
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-05
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-24
  14. 2021-09-04
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2022-01-05
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  16. 2022-03-08
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-10 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-06-05 Successful
2022-01-05
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — day 35, dose 1

2021-04-10

Symptoms: Shoulder pain,had since December, but didn't relate to Co-vid. Now I am wondering due to info I am reading.Been to ortho x-ray and MRI done.Still no better.Both arms affected, done swelling and warmth.Appling ice like instructed, but no better.
Healthcare visit (other): In office visit x3

Release 8 — 3 months, dose 1

2021-06-05

Symptoms: I started having left shoulder pain 2 weeks after co-vid in Nov. and it has spread to my right shoulder. Hoping it will go away.I have had cortisone etc.Any advice??
Healthcare visit (other): Office visit,x-ray and MRI

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
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDSwelling ✓ ✓ ✓

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