3Z4-32938-89285
4 vaccinations
4 coded responses
35 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 218 / MD
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-23
- 2021-01-30
- 2021-02-06
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-27
- 2021-03-06
-
2021-03-13
Survey response — day 21, dose 2MedDRA: Back pain, Painful respiration — Feeling: FairFree text: Pain in upper back. Hurts when I breathe. Started Friday morning pain on scale 1-10 about a 3MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-24
- 2021-08-21
- 2022-02-20
-
2022-05-07
Dose 3 — Moderna
-
2022-11-05
Dose 4 — Moderna
- 2022-11-05
- 2022-11-07
- 2022-11-08
- 2022-11-09
-
2022-11-10
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: I've actually had 5 Covid shotsMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Survey response — days 1–6 daily, dose 4MedDRA: Musculoskeletal pain, Office visit, Pain in extremity — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pain in upper legs and buttocks only when sitting · Healthcare visit (other): Primary NP & neurologist who found no problemMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-13
- 2022-11-14
- 2022-11-19
- 2022-11-28
- 2022-12-03
-
2022-12-10
Survey response — day 35, dose 4MedDRA: Musculoskeletal pain, Office visit, Pain in extremity, Physiotherapy, Tenderness — Feeling: GoodFree text: Pain in upper legs and lower buttocks when sitting only. Neurologist said not sciatica . No pain when walking, sleeping, running or golfing. Just when I sit! Went to physical therapy. So far no relief.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-18
- 2023-02-04
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2022-05-07 | Moderna | No |
| 4 | 2022-11-05 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 21, dose 2
Symptoms: Pain in upper back. Hurts when I breathe. Started Friday morning pain on scale 1-10 about a 3
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I've actually had 5 Covid shots
Systemic reaction (other): Pain in upper legs and buttocks only when sitting
Healthcare visit (other): Primary NP & neurologist who found no problem
Release 12 — day 35, dose 4
Symptoms: Pain in upper legs and lower buttocks when sitting only. Neurologist said not sciatica . No pain when walking, sleeping, running or golfing. Just when I sit! Went to physical therapy. So far no relief.
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 | Musculoskeletal pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Painful respiration | ✓ | ✓ | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Musculoskeletal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release