FXY-91138-73218
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 989 / WA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
-
2021-03-16
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: My lower back muscles tightened up like I threw out backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Lower back muscles are tight like its outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe low back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-21
-
2021-03-25
Health check-in — day 7, dose 1Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-06
- 2021-04-08
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2021-04-12
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna |
Call center
4 call center cases
1 successful · 3 priority 2/3 (triaged and no follow up)
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My lower back muscles tightened up like I threw out back
Systemic reaction (other): Lower back muscles are tight like its out
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Severe low back pain
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release