5TX-15164-65162
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 088 / NJ
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-09
- 2021-01-16
-
2021-01-23
Dose 2 — Moderna
-
2021-01-30
Survey response — day 7, dose 2MedDRA: Back pain — Feeling: Good · Site: Pain, SwellingFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
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2021-02-13
Survey response — day 21, dose 2MedDRA: Back pain, Dyspnoea, Fatigue — Feeling: FairFree text: Back sore down spinal area, a little bit of fatigue, and harder to breathe with mask on. I feel like I cant get enough air wearing a mask.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — day 28, dose 2MedDRA: Back pain, Body temperature normal, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Back pain and headache, higher temp but not significant 99.0MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 35, dose 2MedDRA: Back pain, Headache — Feeling: FairFree text: Back pain and headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 42, dose 2MedDRA: Back pain, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches and backacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — 3 months, dose 2MedDRA: Back pain — Feeling: GoodFree text: Over time my back ache has worsenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-24
Survey response — 6 months, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: I have now have issues with breathing a little bit, only when I am wearing a mask. Its like I need to put more energy into breathing, so when I need to wear a mask it feels like its hard to breathe. Otherwise I seem to be okay.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna |
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Back pain
Release 4 — day 21, dose 2
Symptoms: Back sore down spinal area, a little bit of fatigue, and harder to breathe with mask on. I feel like I cant get enough air wearing a mask.
Release 4 — day 28, dose 2
Symptoms: Back pain and headache, higher temp but not significant 99.0
Release 4 — day 35, dose 2
Symptoms: Back pain and headaches
Release 5 — day 42, dose 2
Symptoms: Headaches and backache
Release 7 — 3 months, dose 2
Symptoms: Over time my back ache has worsened
Release 9 — 6 months, dose 2
Symptoms: I have now have issues with breathing a little bit, only when I am wearing a mask. Its like I need to put more energy into breathing, so when I need to wear a mask it feels like its hard to breathe. Otherwise I seem to be okay.
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 | Body temperature normal | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release