53W-12150-59590
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 023 / MA
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-25
Registered in v-safe
-
2021-04-25
Dose 1 — Moderna
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-11
- 2021-05-18
-
2021-05-23
Dose 2 — Moderna
-
2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Musculoskeletal stiffness, Neck pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Stiff neck, lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body achesAdult check-in
-
2021-05-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body achesAdult check-in
-
2021-05-30
Survey response — day 7, dose 2MedDRA: Condition aggravated, Dysphagia, Pre-existing disease, Unevaluable event — Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): It is my neck up into my head and my shoulder area on the right side. I have Chiari I Malformation and I worry the vaccine aggravated it when prior to I had no Chiari symptoms. I have a slight difficulty swallowing sometimes. · Healthcare visit (other): My grandfather called his chiropractor and asked him about it, he said that people with Chiari have been having the same problem as me with the second vaccine and that my pain could last up to a month. I called urgent care yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-30
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-06
- 2021-06-13
- 2021-06-20
- 2021-06-27
- 2021-07-04
-
2021-08-22
Survey response — 3 months, dose 2MedDRA: Blood insulin increased — Feeling: FairFree text: High insulinMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-21
- 2022-05-12
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-25 | Moderna | |
| 2 | 2021-05-23 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Stiff neck, lower back pain
Systemic reaction (other): Stiff neck
Release 8 — day 7, dose 2
Systemic reaction (other): It is my neck up into my head and my shoulder area on the right side. I have Chiari I Malformation and I worry the vaccine aggravated it when prior to I had no Chiari symptoms. I have a slight difficulty swallowing sometimes.
Healthcare visit (other): My grandfather called his chiropractor and asked him about it, he said that people with Chiari have been having the same problem as me with the second vaccine and that my pain could last up to a month. I called urgent care yesterday.
Release 9 — 3 months, dose 2
Symptoms: High insulin
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Blood insulin increased | ✓ | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release