3BA-33345-80445
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-12
-
2021-03-19
Survey response — day 14, dose 1MedDRA: Neuralgia, Pain, Pre-existing disease, Sciatica — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe right side sciatic nerve pain radiating from lower back/buttocks area to right knee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-04
-
2021-04-05
Dose 2 — Moderna
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Sciatic nerve injury — Feeling: Good · Joint painsFree text: Joint pain felt like sciatic nerveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain, Pre-existing disease — Feeling: Good · Joint painsFree text: Joint pain preceded my 2d shot and is mainly low back sciatic pain radiating down my rt buttocks & into rt legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-07-05
Survey response — 3 months, dose 2MedDRA: Acupuncture, Back pain, Sciatica — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Symptoms not covid related. Developed low back, sciatic pain. Treated with acupuncture and symptoms resolving. · Healthcare visit (other): AcupunctureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-04
Survey response — 6 months, dose 2MedDRA: Acupuncture, Sciatica — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sciatic pain. Resolved with acupuncture · Healthcare visit (other): AcupunctureMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-05
Survey response — 12 months, dose 2MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Suffered with a severe bout of the flu for 2 weeks. I have totally recovered.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Severe right side sciatic nerve pain radiating from lower back/buttocks area to right knee.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Joint pain felt like sciatic nerve
Systemic reaction (other): Joint pain preceded my 2d shot and is mainly low back sciatic pain radiating down my rt buttocks & into rt leg
Release 9 — 3 months, dose 2
Symptoms: Symptoms not covid related. Developed low back, sciatic pain. Treated with acupuncture and symptoms resolving.
Healthcare visit (other): Acupuncture
Release 10 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: Suffered with a severe bout of the flu for 2 weeks. I have totally recovered.
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 | Acupuncture | ✓ | ✓ | ✓ |
| SD | Acupuncture | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ○ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sciatic nerve injury | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release