YK5-10804-19063
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 787 / TX
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-27
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Condition aggravated, Pre-existing disease — Feeling: Good · Muscle or body achesFree text: I've had Bach stiffness/pain for the last 3-4 days, but I have this problem intermittently, so did not immediately report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Back pain, Musculoskeletal stiffness — Feeling: Good · Muscle or body achesFree text: Unclear concerning low back pain being related to vaccination. Odd that it had sort of travelled to my left hip. Morning muscle stiffness has been significant in the mornings . Better after activity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Survey response — day 7, dose 1MedDRA: Back pain, Pain, Tenderness — Feeling: Good · Muscle or body achesFree text: Low back pain is much better, but still feel a ligament tenderness in left hip/pelvis with movement. Not severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-15
- 2021-01-20
-
2021-01-21
Dose 2 — Moderna
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-08-28
Dose 3 — Moderna
- 2021-11-27
- 2022-02-26
- 2022-08-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-08-28 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I've had Bach stiffness/pain for the last 3-4 days, but I have this problem intermittently, so did not immediately report it.
Systemic reaction (other): Unclear concerning low back pain being related to vaccination. Odd that it had sort of travelled to my left hip. Morning muscle stiffness has been significant in the mornings . Better after activity.
Release 1 — day 7, dose 1
Systemic reaction (other): Low back pain is much better, but still feel a ligament tenderness in left hip/pelvis with movement. Not severe.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release