ZXB-29881-19822

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 741 / OK
Registered: 2021-03-06

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Be unable to work

Free text: Itching on arms and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Pain in shoulder up to base of neck at injection arm and

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in entire arm of injection. Feels like its a nerve

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 7, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Pain in arm of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Headache

Free text: Right shoulder from 1st hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: First dose in right shoulder hurts. Second dose left shoulder sore at injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-04-17
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right shoulder from first vaccine is still having pain. Made another appointment with my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 42, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I am still having pain in shoulder from 1st shot · Healthcare visit (other): In person visit with doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-27
Call 1 — Left Voicemail
2022-04-05
Survey response — 12 months, dose 2
MedDRA: Back pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Constant back pain · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-03	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Itching on arms and back

2021-03-10

Systemic reaction (other): Pain in shoulder up to base of neck at injection arm and

2021-03-11

Systemic reaction (other): Pain in entire arm of injection. Feels like its a nerve

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Pain in arm of injection

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): Right shoulder from 1st hurts

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): First dose in right shoulder hurts. Second dose left shoulder sore at injection

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Right shoulder from first vaccine is still having pain. Made another appointment with my doctor.

Release 8 — day 42, dose 2

2021-05-15

Symptoms: I am still having pain in shoulder from 1st shot

Healthcare visit (other): In person visit with doctor

Release 11 — 12 months, dose 2

2022-04-05

Symptoms: Constant back pain

Healthcare visit (other): Office visit

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
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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