23Q-18694-61704

5 vaccinations 13 coded responses 56 check-ins 12 free-text entries 6 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 978 / OR
Registered: 2021-04-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · 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
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · 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
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · 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
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Arthralgia, Myalgia, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Intense muscle and joint pain. Feverish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-05-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Arthralgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Increased abdominal pain. Joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Extreme fatigue and severe muscle and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-13
Survey response — day 42, dose 2
MedDRA: Lymphatic disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Lymphatic system infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-17
Call 2 — Could Not Reach Participant
2021-06-22
Call 3 — Left Voicemail
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Cholelithiasis, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Gallstone. Chronic and Severe fatigue.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-10
Call 3 — Left Voicemail
2021-12-02
Dose 3 — Moderna
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Dose 4 — Moderna
2022-06-20
Survey response — days 1–6 daily, dose 4
MedDRA: Glassy eyes — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Eyes are glazed over. Silver like.

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — day 7, dose 4
MedDRA: Eye colour change, Visual impairment — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sudden onset of silver like color over both eyes, diminished eyesight

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Survey response — day 14, dose 4
MedDRA: Blindness, Eye pain, Lymphadenopathy, Tonsillar hypertrophy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen tonsils and lymph nodes. Dulling of eyes. Loss of vision.

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-29
Call 2 — Left Voicemail
2022-06-29
Call 2 — Left Voicemail
2022-06-29
Call X — Left Voicemail
2022-06-29
Call 2 — Left Voicemail
2022-06-29
Call 2 — Left Voicemail
2022-07-05
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-12
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-19
Survey response — day 35, dose 4
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Skin breakouts

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Dose 5 — Moderna
Co-administered: Flu
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-28
Health check-in — day 7, dose 5
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-06
Survey response — day 14, dose 5
MedDRA: Diarrhoea, Influenza like illness, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad flu like symptoms. Nausea and diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 21, dose 5
Feeling: Poor

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-25
Survey response — day 35, dose 5
MedDRA: Fatigue, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Constant nausea. Chronic fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Survey response — day 42, dose 5
MedDRA: Nausea, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, vomiting.

MedDRA releases: 2024-11 · check-in free text available
2023-01-20
Survey response — 3 months, dose 5
MedDRA: Cellulitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-20
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-24
Call 1 — Left Voicemail
2023-01-24
Call 1 — Left Voicemail
2023-01-24
Call 1 — Left Voicemail
2023-01-24
Call 1 — Left Voicemail
2023-01-24
Call 1 — Left Voicemail
2023-01-24
Call 1 — Left Voicemail
2023-04-22
Health check-in — 6 months, dose 5
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-30	Moderna
3	2021-12-02	Moderna	No
4	2022-06-14	Moderna	No
5	2022-10-21	Moderna	Flu

Call center

6 call center cases

6 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Intense muscle and joint pain. Feverish.

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Increased abdominal pain. Joint pain.

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Extreme fatigue and severe muscle and joint pain.

Release 9 — day 42, dose 2

2021-06-13

Symptoms: Lymphatic system infection

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Gallstone. Chronic and Severe fatigue.

Release 12 — days 1–6 daily, dose 4

2022-06-20

Systemic reaction (other): Eyes are glazed over. Silver like.

Release 12 — day 7, dose 4

2022-06-21

Systemic reaction (other): Sudden onset of silver like color over both eyes, diminished eyesight

Release 12 — day 14, dose 4

2022-06-28

Symptoms: Swollen tonsils and lymph nodes. Dulling of eyes. Loss of vision.

Release 12 — day 35, dose 4

2022-07-19

Symptoms: Skin breakouts

Release 12 — day 14, dose 5

2022-11-06

Symptoms: Bad flu like symptoms. Nausea and diarrhea.

Release 12 — day 35, dose 5

2022-11-25

Symptoms: Constant nausea. Chronic fatigue.

Release 12 — day 42, dose 5

2022-12-02

Symptoms: Nausea, vomiting.

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
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Blindness	·	·	✓
SD	Cellulitis	·	·	✓
SD	Cholelithiasis	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Eye pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Lymphatic disorder	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	·	·	✓
SD	Tonsillar hypertrophy	·	·	✓
SD	Vomiting	·	·	✓
SRO	Eye colour change	·	·	✓
SRO	Glassy eyes	·	·	✓
SRO	Visual impairment	·	·	✓

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