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6FL-87351-28165

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
785 / TX
Registered
2020-12-27
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-26
    Dose 1 — Moderna
  2. 2020-12-27
    Registered in v-safe
  3. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  4. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Free text: Back ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Chronic back pain has been more persistent
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Backaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Exacerbated chronic back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-02
    Survey response — day 7, dose 1
    MedDRA: Back pain — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Back ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-09
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Injection site rash, Office visit — Feeling: Fair
    Free text: Noticed itching and rash approximately 6-7 cm in diameter after 8 days to injection site, suddenly started with the itching at site on day 8 saw my Doctor and ordered Keflex 500 mg Bid prophylactic , rash/itching fading
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-23
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Back pain, Pain, Pre-existing disease — Feeling: Fair
    Free text: Chronic back pain more constant than before, knee pain and general body aches more constant , before I the pain to all mentioned parts was less frequent
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-25
    Dose 2 — Moderna
  14. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Adult check-in
  15. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  16. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-02-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-01-25
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-25Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Back ache

2020-12-30

Systemic reaction (other): Chronic back pain has been more persistent

2020-12-31

Systemic reaction (other): Backaches

2021-01-01

Systemic reaction (other): Exacerbated chronic back pain

Release 1 — day 7, dose 1

2021-01-02

Systemic reaction (other): Back ache

Release 1 — day 14, dose 1

2021-01-09

Symptoms: Noticed itching and rash approximately 6-7 cm in diameter after 8 days to injection site, suddenly started with the itching at site on day 8 saw my Doctor and ordered Keflex 500 mg Bid prophylactic , rash/itching fading

Release 2 — day 28, dose 1

2021-01-23

Symptoms: Chronic back pain more constant than before, knee pain and general body aches more constant , before I the pain to all mentioned parts was less frequent

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
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSpecialist consultation ○ ○ ○
SROBack pain ✓ ✓ ✓
SROCondition aggravated ○ ○ ○
SROPre-existing disease ✓ ✓ ✓

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

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