2CC-29153-13732

1 vaccination 6 coded responses 9 check-ins 6 free-text entries 6 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 234 / VA
Registered: 2021-02-05

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

2021-01-30
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, severe joint pain · Healthcare visit (other): Family practice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-27
Survey response — day 28, dose 1
MedDRA: Arthralgia, Blood glucose increased, Fatigue, Office visit, Pre-existing disease, Rash, Rash erythematous — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued severe fatigue, joint soreness, deep red rash on my back and blood sugar jumped 200 points. · Healthcare visit (other): Family practice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — day 35, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued severe muscle and joint pain. Extreme fatigue and rash throughout my back and chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 42, dose 1
MedDRA: Asthenia, Fatigue, Office visit, Pre-existing disease, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Within 72 hours of receiving the shot and for the last 43 days I continue to experience severe fatigue, chronic pain in my joints and a distinct loss loss of strength. In addition I have a serious rash on my back, chest and groin. Please help. · Healthcare visit (other): Family practice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — 3 months, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: After two steroid treatments I still have severe fatigue, joint and muscle pain. · Healthcare visit (other): Family practice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-31
Survey response — 6 months, dose 1
MedDRA: Arthralgia, Asthenia, Blood glucose increased, Fatigue, Myalgia, Office visit, Rash — Feeling: Poor · 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

Free text: Symptoms: Fatigue, joint pain, rash, muscle ache, increased blood sugar levels, loss of strength, · Healthcare visit (other): Dr visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna

Call center

6 call center cases

6 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-13

Symptoms: Fatigue, severe joint pain

Healthcare visit (other): Family practice

Release 4 — day 28, dose 1

2021-02-27

Symptoms: Continued severe fatigue, joint soreness, deep red rash on my back and blood sugar jumped 200 points.

Healthcare visit (other): Family practice

Release 5 — day 35, dose 1

2021-03-06

Symptoms: Continued severe muscle and joint pain. Extreme fatigue and rash throughout my back and chest

Release 5 — day 42, dose 1

2021-03-13

Symptoms: Within 72 hours of receiving the shot and for the last 43 days I continue to experience severe fatigue, chronic pain in my joints and a distinct loss loss of strength. In addition I have a serious rash on my back, chest and groin. Please help.

Healthcare visit (other): Family practice

Release 8 — 3 months, dose 1

2021-05-01

Symptoms: After two steroid treatments I still have severe fatigue, joint and muscle pain.

Healthcare visit (other): Family practice

Release 9 — 6 months, dose 1

2021-07-31

Symptoms: Fatigue, joint pain, rash, muscle ache, increased blood sugar levels, loss of strength,

Healthcare visit (other): Dr visit

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
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓

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