252-91402-92435

2 vaccinations 4 coded responses 19 check-ins 4 free-text entries 1 call case

Sex: Male
Age at first dose: 26-30
ZIP prefix: 149 / NY
Registered: 2021-06-30

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

2021-06-29
Dose 1 — Moderna
2021-06-30
Registered in v-safe
2021-07-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Woke up in the morning with chest pain similar to my first check-in but significantly worse, it's since seemingly completely gone away for now (where as it was fairly persistent the entire day yesterday).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-07-04
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Diarrhoea, Flatulence — Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Constipation, yesterday I missed my check-in but I had diarrhea but now I feel blocked up, though I'm still passing gas mostly fine, I think.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure decreased, Chest pain — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: The pain in the left side of my chest came back today, I had an episode of severe pain (like something was cutting into me), during which my blood pressure dropped to 100/62 - as the pain subsided my blood pressure went back to near my normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-07-21
Survey response — day 21, dose 1
MedDRA: Abdominal pain lower, Blood glucose increased, Blood test abnormal, Muscle spasms, Myalgia, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lower right abdomen pain, and generalized muscle pain and spasms. I went to my GI doctor and we're doing some tests, so far my bloodtest results are in with higher than standard Glucose (after fasting for the test) and low MCHC.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Dose 2 — Moderna
2021-07-27
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-27
Call 1 — Left Voicemail
2021-07-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-08-03
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-08-21
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-08-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-08-31
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-09-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-29	Moderna	No
2	2021-07-27	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-01

Systemic reaction (other): Woke up in the morning with chest pain similar to my first check-in but significantly worse, it's since seemingly completely gone away for now (where as it was fairly persistent the entire day yesterday).

2021-07-04

Systemic reaction (other): Constipation, yesterday I missed my check-in but I had diarrhea but now I feel blocked up, though I'm still passing gas mostly fine, I think.

2021-07-05

Systemic reaction (other): The pain in the left side of my chest came back today, I had an episode of severe pain (like something was cutting into me), during which my blood pressure dropped to 100/62 - as the pain subsided my blood pressure went back to near my normal.

Release 9 — day 21, dose 1

2021-07-21

Symptoms: Lower right abdomen pain, and generalized muscle pain and spasms. I went to my GI doctor and we're doing some tests, so far my bloodtest results are in with higher than standard Glucose (after fasting for the test) and low MCHC.

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 lower	·	·	✓
SD	Blood glucose increased	·	·	✓
SD	Blood test abnormal	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓
SRO	Blood pressure decreased	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Flatulence	✓	✓	✓

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