3CZ-21712-66274
1 vaccination
2 coded responses
6 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 937 / CA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I have a case of scoliosis which affects my right side. I am receiving physical therapy to build up the muscles in my back. Today is one of those days where everything is sensitive and painful. Hopefully after resting and being off my feet, the pain will subside.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Pre-existing disease, Scoliosis — Feeling: Good · Muscle or body achesFree text: Yesterday I had terrible pain from my scoliosis problem in my back but today Ive felt much better and havent experienced much discomfort. Prayers were answered!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Abdominal painAdult check-in
- 2021-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have a case of scoliosis which affects my right side. I am receiving physical therapy to build up the muscles in my back. Today is one of those days where everything is sensitive and painful. Hopefully after resting and being off my feet, the pain will subside.
Systemic reaction (other): Yesterday I had terrible pain from my scoliosis problem in my back but today Ive felt much better and havent experienced much discomfort. Prayers were answered!!
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Scoliosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release