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
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
-
2021-02-11
Survey response — day 0, dose 1MedDRA: Pain in jaw — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesFree 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
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: Moderate pain and weakness in the shoulder joint of injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Hemiparesis, Muscular weakness — Feeling: Good · Joint pains · Be unable to workFree 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
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Mobility decreased — Feeling: Good · Joint painsFree text: Still limited strength in arm and pain in elbow and shoulder joint of shot armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Arthralgia, Asthenia — Feeling: GoodFree 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 nMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-18
- 2021-04-22
- 2021-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Free text
Release 4 — day 0, dose 1
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
Systemic reaction (other): Moderate pain and weakness in the shoulder joint of injection arm
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.
Systemic reaction (other): Still limited strength in arm and pain in elbow and shoulder joint of shot arm
Release 6 — day 14, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Hemiparesis | ○ | ✓ | ○ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release