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6EU-54983-79286

2 vaccinations 5 coded responses 12 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
981 / WA
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Registered in v-safe
  2. 2021-04-08
    Dose 1 — Moderna
  3. 2021-05-06
    Dose 2 — Moderna
  4. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Had a sore back from some work and have never had spasms before until now. Had back spasms that we're completely debilitating. Think it may have been triggered by increased inflammation from the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms, Musculoskeletal stiffness, Pain, Pre-existing disease — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Residual stiffness and pain from muscle spasms. Believe spasms were triggered by preexisting injury inflamed by side effects.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Inflammation, Muscle spasms, Pre-existing disease — Feeling: Fair · Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Back spasm recovery, which to which additional inflammation may have contributed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-13
    Survey response — day 7, dose 2
    MedDRA: Inflammation, Muscle spasms — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Spasm likely induced by inflammation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-17
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-05-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-06Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Had a sore back from some work and have never had spasms before until now. Had back spasms that we're completely debilitating. Think it may have been triggered by increased inflammation from the shot.

2021-05-11

Systemic reaction (other): Residual stiffness and pain from muscle spasms. Believe spasms were triggered by preexisting injury inflamed by side effects.

2021-05-12

Systemic reaction (other): Back spasm recovery, which to which additional inflammation may have contributed.

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Spasm likely induced by inflammation.

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Fatigue

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release