2FF-27226-58842

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 1 call case

Sex: Male
Age at first dose: 41-45
ZIP prefix: 804 / CO
Registered: 2020-12-28

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

2020-12-27
Dose 1 — Moderna
2020-12-28
Registered in v-safe
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Neck pain, Pain in jaw — Feeling: Good

Free text: Jaw pain, ear ache and neck ache on right side but likely unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Neck pain — Feeling: Good

Free text: Slight pain on the front right portion of my neck, slight earache in right ear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Neck pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck pain and slight earache on right side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Feel pretty run down but better than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Felt tired after bike ride

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — day 7, dose 1
MedDRA: Dizziness, Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Still felt mildly fatigued and light headed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-23
Dose 2 — Moderna
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Feeling abnormal, Insomnia, Pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Body aches made sleeping difficult. Arthritic like pain in the ring finger of my right hand. Worsened with second dose. I never had any issues prior to taking the first dose of this vaccine. I felt a little rundown before getting the second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Feeling jittery — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt a bit a foggy and jittery this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had to take a nap mid-day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Visual impairment — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Vision seems off, just like it did after my first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Metamorphopsia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Vision seems slightly off, some mild dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — day 7, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Headache

Free text: Felt foggy in the morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Nausea, Pain, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities

Free text: General sluggishness and fatigue at times. Periodic headaches, body aches and nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-27	Moderna
2	2021-01-23	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Jaw pain, ear ache and neck ache on right side but likely unrelated

2020-12-30

Systemic reaction (other): Slight pain on the front right portion of my neck, slight earache in right ear.

2020-12-31

Systemic reaction (other): Neck pain and slight earache on right side.

2021-01-01

Systemic reaction (other): Feel pretty run down but better than yesterday.

2021-01-02

Systemic reaction (other): Felt tired after bike ride

Release 1 — day 7, dose 1

2021-01-03

Systemic reaction (other): Still felt mildly fatigued and light headed.

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Body aches made sleeping difficult. Arthritic like pain in the ring finger of my right hand. Worsened with second dose. I never had any issues prior to taking the first dose of this vaccine. I felt a little rundown before getting the second dose.

2021-01-25

Systemic reaction (other): Felt a bit a foggy and jittery this morning

2021-01-26

Systemic reaction (other): Had to take a nap mid-day.

2021-01-27

Systemic reaction (other): Vision seems off, just like it did after my first dose.

2021-01-28

Systemic reaction (other): Vision seems slightly off, some mild dizziness.

Release 3 — day 7, dose 2

2021-01-31

Systemic reaction (other): Felt foggy in the morning.

Release 7 — 3 months, dose 2

2021-04-25

Symptoms: General sluggishness and fatigue at times. Periodic headaches, body aches and nausea.

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Sluggishness	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Metamorphopsia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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