3MS-10789-63073
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 277 / NC
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Dizziness, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Between my first vaccination and my second, I have also had dizzy spells, and a flare up of a previous condition, spinal stenosis. I have no way of knowing if this is related to the vaccine or not, but thought it was worth reporting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-01
-
2021-03-15
Survey response — day 28, dose 2MedDRA: Back pain — Feeling: FairFree text: I have had recurrent back pain that I don't know if it is related to the vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — day 35, dose 2MedDRA: Back pain, Inflammation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The symptoms are not new but I still have pain in my back which seems to be from inflammation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Between my first vaccination and my second, I have also had dizzy spells, and a flare up of a previous condition, spinal stenosis. I have no way of knowing if this is related to the vaccine or not, but thought it was worth reporting.
Release 5 — day 28, dose 2
Symptoms: I have had recurrent back pain that I don't know if it is related to the vaccine or not.
Release 6 — day 35, dose 2
Symptoms: The symptoms are not new but I still have pain in my back which seems to be from inflammation.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release