5VG-33355-33030
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 317 / GA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
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2021-04-02
Dose 1 — Moderna
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2021-04-02
Survey response — day 0, dose 1MedDRA: Motor dysfunction, Muscle spasms — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Vaccibe at 9:20am . My lower back has been experiencing muscle spasms starting at 5pm, while standing. I lost motor control temporarily during one. I'm resting currently, hoping it subsides in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Self-medication — Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: My lowe back pain has subsided around 3pm after rest and sine Aleve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-18
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2021-04-30
Dose 2 — Moderna
- 2021-04-30
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-04
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2021-05-09
Health check-in — day 7, dose 2Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal painAdult check-in
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2021-05-28
Survey response — day 28, dose 2MedDRA: Balance disorder, Visual impairment — Feeling: FairFree text: I seem unbalanced at times and my vision seems slightly worse. Im scheduling an eye appointment. I overall well better, except for thosr issues stated above.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Vaccibe at 9:20am . My lower back has been experiencing muscle spasms starting at 5pm, while standing. I lost motor control temporarily during one. I'm resting currently, hoping it subsides in the morning.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My lowe back pain has subsided around 3pm after rest and sine Aleve.
Release 8 — day 28, dose 2
Symptoms: I seem unbalanced at times and my vision seems slightly worse. Im scheduling an eye appointment. I overall well better, except for thosr issues stated above.
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 | Balance disorder | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Motor dysfunction | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release