2ZY-20708-28367
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 447 / OH
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Just a few lower back pain but it could be I slept wrongMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Irritability — Feeling: Good · Fatigue or tirednessFree text: Arm just tender where shot was. Irritable today for what ever reasonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Still lower backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 21, dose 1MedDRA: Back pain, Cystitis, Kidney infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Been to the dr bc maybe a kidney/bladder infection which is very extremely odd for me. Still lower back side on left side hurting . Dr put me on antibiotic n being treated as a bladder infection and to see it antibiotic works · Healthcare visit (other): My family drMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-23
Dose 2 — Moderna
-
2021-04-23
Survey response — day 0, dose 2MedDRA: Back pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Lower back pain since first vaccine about 2 weeks after · Healthcare visit (other): In officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-23
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Just a few lower back pain but it could be I slept wrong
Systemic reaction (other): Arm just tender where shot was. Irritable today for what ever reason
Systemic reaction (other): Still lower back
Release 7 — day 21, dose 1
Symptoms: Been to the dr bc maybe a kidney/bladder infection which is very extremely odd for me. Still lower back side on left side hurting . Dr put me on antibiotic n being treated as a bladder infection and to see it antibiotic works
Healthcare visit (other): My family dr
Release 7 — day 0, dose 2
Systemic reaction (other): Lower back pain since first vaccine about 2 weeks after
Healthcare visit (other): In office
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Cystitis | ✓ | ✓ | ✓ |
| SD | Kidney infection | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release