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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

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Condition aggravated, Pre-existing disease — Feeling: Good · Muscle or body aches
    Free 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
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Back pain, Musculoskeletal stiffness — Feeling: Good · Muscle or body aches
    Free 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
  6. 2020-12-30
    Survey response — day 7, dose 1
    MedDRA: Back pain, Pain, Tenderness — Feeling: Good · Muscle or body aches
    Free 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
  7. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-20
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-21
    Dose 2 — Moderna
  11. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  12. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  13. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-28
    Dose 3 — Moderna
  21. 2021-11-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-02-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-08-28
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-21Moderna
32021-08-28Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

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.

2020-12-29

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

2020-12-30

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

FieldPreferred term2021-092023-042024-11
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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