5EX-30180-58902
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 236 / VA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have a HIGH pain tolerance. With that context, my pain level rose to 8-9 laat night... especially back, legs, and arms. All deep bone hurt. Got up with lower ache level... today's high has been 5-7. With vaccines I tend toward a robust immune response so while higher level of pain than typical, nothing unexpected. Worth it!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-21
- 2021-03-23
- 2021-03-30
- 2021-04-05
- 2021-04-12
-
2021-04-15
Dose 2 — Moderna
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling, Sexual dysfunction — Feeling: Good · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Have not been able to perform sexually on any day since injection. · Healthcare visit (other): Emailed PCM and will schedule appt should dysfunction continue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Sleep disorder — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Sleep disturbance.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
-
2021-04-29
Survey response — day 14, dose 2MedDRA: Back pain, High frequency ablation, Pain, Sexual dysfunction — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Getting MRI on L1 to L3. Intense pain and continued sexual disfunction. Had RFA one week after vaccination on L2 to L5. Yet now have severe acute pain below... even though RFA not known for this impact. Wondering what if any connection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-15
- 2021-05-21
- 2021-05-27
- 2021-10-17
-
2022-02-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have a HIGH pain tolerance. With that context, my pain level rose to 8-9 laat night... especially back, legs, and arms. All deep bone hurt. Got up with lower ache level... today's high has been 5-7. With vaccines I tend toward a robust immune response so while higher level of pain than typical, nothing unexpected. Worth it!
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Have not been able to perform sexually on any day since injection.
Healthcare visit (other): Emailed PCM and will schedule appt should dysfunction continue.
Systemic reaction (other): Sleep disturbance.
Release 8 — day 14, dose 2
Symptoms: Getting MRI on L1 to L3. Intense pain and continued sexual disfunction. Had RFA one week after vaccination on L2 to L5. Yet now have severe acute pain below... even though RFA not known for this impact. Wondering what if any connection.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | High frequency ablation | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Sexual dysfunction | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sexual dysfunction | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release