2CZ-29500-00775

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 553 / MN
Registered: 2021-05-19

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

Timeline

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

2021-05-19
Registered in v-safe
2021-05-19
Dose 1 — Moderna
2021-05-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Light fever sweat (top of head, upper lip)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
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 work, Be unable to do your normal daily activities

Adult check-in
2021-05-22
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Fair · Headache, Joint pains, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Altered sense of taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-26
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-06-02
Survey response — day 14, dose 1
MedDRA: Arthralgia, Brain fog, Fatigue, Headache, Injection site pain, Mood swings, Pain, Photophobia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Significantly increased: body ache, joint pain, continuous pain at injection site (left arm), fatigue (despite 8hrs sleep and caffeine), brain fog, thought loops, daily headache (NDPH) notably worse, light sensitivity, mood swings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-06-22
Dose 2 — Moderna
2021-06-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-24
Survey response — days 1–6 daily, dose 2
MedDRA: Photosensitivity reaction — Feeling: Fair · Site: Pain · Headache, 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

Free text: Photosensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, 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
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Increased tendency to bruise — Feeling: Fair · 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

Free text: Spontaneous bruising/spotting on right forearm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — day 7, dose 2
Feeling: Fair · 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
2021-07-06
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Migraine, Nausea, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Low fever, nausea, vomiting, diarrhea, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Diarrhoea, Migraine, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation

Free text: Diarrhea, fibromyalgia & migraine flare up

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — day 28, 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)
2021-07-27
Survey response — day 35, dose 2
MedDRA: Arthralgia, Condition aggravated, Irritable bowel syndrome, Migraine, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Widespread joint pain, triggered intense IBS, Fibromyalgia, migraine attacks

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Call 1 — Could Not Reach Participant
2021-08-02
Callback requested for
09:00AM ET
2021-08-04
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Irritable bowel syndrome, Migraine, Pre-existing disease — 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: 2nd dose triggered flare up of previously well managed pre-existing chronic medical conditions. IBS, fibromyalgia, NPDH, chronic migraine, CFS

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
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)
2021-08-14
Call 1 — Left Voicemail
2021-09-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-21
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-19	Moderna
2	2021-06-22	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-20

Systemic reaction (other): Light fever sweat (top of head, upper lip)

2021-05-22

Systemic reaction (other): Altered sense of taste

Release 8 — day 14, dose 1

2021-06-02

Symptoms: Significantly increased: body ache, joint pain, continuous pain at injection site (left arm), fatigue (despite 8hrs sleep and caffeine), brain fog, thought loops, daily headache (NDPH) notably worse, light sensitivity, mood swings

Release 9 — days 1–6 daily, dose 2

2021-06-24

Systemic reaction (other): Photosensitivity

2021-06-28

Systemic reaction (other): Spontaneous bruising/spotting on right forearm

Release 9 — day 14, dose 2

2021-07-06

Symptoms: Low fever, nausea, vomiting, diarrhea, migraine

Release 9 — day 28, dose 2

2021-07-22

Symptoms: Diarrhea, fibromyalgia & migraine flare up

Release 9 — day 35, dose 2

2021-07-27

Symptoms: Widespread joint pain, triggered intense IBS, Fibromyalgia, migraine attacks

Release 9 — day 42, dose 2

2021-08-04

Symptoms: 2nd dose triggered flare up of previously well managed pre-existing chronic medical conditions. IBS, fibromyalgia, NPDH, chronic migraine, CFS

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	Arthralgia	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Condition aggravated	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Irritable bowel syndrome	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Mood swings	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Increased tendency to bruise	✓	✓	✓
SRO	Photosensitivity reaction	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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