ZUL-27969-43647

5 vaccinations 20 coded responses 52 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 191 / PA
Registered: 2021-04-16

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Moderna
2021-04-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Deep burning pain in shoulder joint post injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Deep shoulder joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Neuralgia, Paraesthesia — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Burning nerve pain between shoulder & elbow. Tingling and numbness down to fingertips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 1
MedDRA: Neuralgia — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Severe nerve pain between shoulder & elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 1
MedDRA: Arthralgia, Grip strength decreased, Hypoaesthesia, Neuralgia, Pain in extremity, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nerve pain between shoulder and elbow that is now radiating to fingertips. Numbness and tingling. Dropping things due to numbness. Shoulder & elbow joint pain continues to be an issue but less now than last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 21, dose 1
MedDRA: Arthralgia, Hypoaesthesia, Neuralgia — Feeling: Fair

Free text: The nerve pain between shoulder & elbow continues. The numbness is worsening from shoulder to fingertips is worsening; getting a dead arm and dropping things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Dose 2 — Moderna
2021-05-14
Health check-in — day 28, dose 1
Feeling: Poor

Adult check-in
2021-05-14
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Neuralgia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: From 1st: still having residual nerve pain & numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still having numbness from 1st dose shoulder to fingertips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Continuing numbness from 1 shot back in April

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Neuralgia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Continuing residual nerve pain and numbness should to fingertips from 1st shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Neuralgia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Continuing nerve pain and numbness shoulder to fingertips from 1 st dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypoaesthesia — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Bronchial type cough; continued numbness shoulder to fingertips from 1st dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Neuralgia — Feeling: Good · Headache, Fatigue or tiredness

Free text: Continuing numbness & nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 14, dose 2
MedDRA: Hypoaesthesia, Neuralgia — Feeling: Good

Free text: Continuing numbness and nerve pain from initial dose in Apr. they hit the nerve when injecting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-15
Dose 3 — Moderna
Co-administered: Flu
2022-06-21
Dose 4 — Moderna
Co-administered: Shingles
2022-06-21
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Adult check-in
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2022-06-28
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-07-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-26
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-02
Survey response — day 42, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Developed Covid

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-01-09
Dose 5 — Moderna
2023-01-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-12
Survey response — days 1–6 daily, dose 5
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-13
Survey response — days 1–6 daily, dose 5
MedDRA: Respiratory tract congestion, Throat irritation — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11
2023-01-14
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Respiratory tract congestion, Throat irritation — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11
2023-01-15
Survey response — days 1–6 daily, dose 5
MedDRA: Nasal discharge discolouration, Respiratory tract congestion — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11
2023-01-16
Survey response — day 7, dose 5
MedDRA: Influenza like illness, Nasal congestion, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11
2023-01-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-01-30
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-02-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-02-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-02-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-14	Moderna
3	2022-01-15	Moderna	Flu
4	2022-06-21	Moderna	Shingles
5	2023-01-09	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Deep burning pain in shoulder joint post injection

2021-04-20

Systemic reaction (other): Deep shoulder joint pain

2021-04-22

Systemic reaction (other): Burning nerve pain between shoulder & elbow. Tingling and numbness down to fingertips

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): Severe nerve pain between shoulder & elbow

Release 8 — day 14, dose 1

2021-04-30

Symptoms: Nerve pain between shoulder and elbow that is now radiating to fingertips. Numbness and tingling. Dropping things due to numbness. Shoulder & elbow joint pain continues to be an issue but less now than last week.

Release 8 — day 21, dose 1

2021-05-07

Symptoms: The nerve pain between shoulder & elbow continues. The numbness is worsening from shoulder to fingertips is worsening; getting a dead arm and dropping things

Release 8 — day 0, dose 2

2021-05-14

Systemic reaction (other): From 1st: still having residual nerve pain & numbness

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Still having numbness from 1st dose shoulder to fingertips

2021-05-16

Systemic reaction (other): Continuing numbness from 1 shot back in April

2021-05-17

Systemic reaction (other): Continuing residual nerve pain and numbness should to fingertips from 1st shot

2021-05-19

Systemic reaction (other): Continuing nerve pain and numbness shoulder to fingertips from 1 st dose

2021-05-20

Systemic reaction (other): Bronchial type cough; continued numbness shoulder to fingertips from 1st dose

Release 8 — day 7, dose 2

2021-05-21

Systemic reaction (other): Continuing numbness & nerve pain

Release 8 — day 14, dose 2

2021-05-28

Symptoms: Continuing numbness and nerve pain from initial dose in Apr. they hit the nerve when injecting

Release 12 — day 42, dose 4

2022-08-02

Symptoms: Developed Covid

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	COVID-19	·	·	✓
SD	Grip strength decreased	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Influenza like illness	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Nasal discharge discolouration	·	·	✓
SRO	Neuralgia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Throat irritation	·	·	✓

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