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ZBP-11048-67361

2 vaccinations 5 coded responses 11 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
960 / CA
Registered
2021-02-11
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Registered in v-safe
  2. 2021-02-11
    Dose 1 — Moderna
  3. 2021-02-11
    Survey response — day 0, dose 1
    MedDRA: Pain in jaw — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches
    Free text: Jaw pain on the same side I got the shot. Tenderness in the shot area and should arches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Muscular weakness — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: Moderate pain and weakness in the shoulder joint of injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Hemiparesis, Muscular weakness — Feeling: Good · Joint pains · Be unable to work
    Free text: Pain still in the shoulder and elbow joints above and below the shot area. Weakness still in the arm and shoulder that I got the shot in.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Mobility decreased — Feeling: Good · Joint pains
    Free text: Still limited strength in arm and pain in elbow and shoulder joint of shot arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-11
    Dose 2 — Moderna
  10. 2021-03-25
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Asthenia — Feeling: Good
    Free text: After shot 24hrs was weak run down a little. Had some joint pain. Since the shot have some lingering joint pain, it is new but dont know if from the shot or from getting older.. but in left which is my good one and in my right hand middle finger n
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Jaw pain on the same side I got the shot. Tenderness in the shot area and should arches.

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Moderate pain and weakness in the shoulder joint of injection arm

2021-02-15

Systemic reaction (other): Pain still in the shoulder and elbow joints above and below the shot area. Weakness still in the arm and shoulder that I got the shot in.

2021-02-16

Systemic reaction (other): Still limited strength in arm and pain in elbow and shoulder joint of shot arm

Release 6 — day 14, dose 2

2021-03-25

Symptoms: After shot 24hrs was weak run down a little. Had some joint pain. Since the shot have some lingering joint pain, it is new but dont know if from the shot or from getting older.. but in left which is my good one and in my right hand middle finger n

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 ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROHemiparesis ○ ✓ ○
SROMobility decreased ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓

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