2J5-89499-91862

4 vaccinations 6 coded responses 45 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 349 / FL
Registered: 2021-02-06

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-05
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event, Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No, my blood sugar remains constant. There was no effect on my blood sugar(type 2diabetes)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Muscle twitching — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Muscle twitching (muscle spasms) in the arm where I received the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Moderna
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle twitching — Feeling: Fair · Site: Pain · Fever

Free text: Twitching beginning at the injection site and extending down my arm.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Survey response — day 14, dose 3
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itching around the injection site

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Dose 4 — Moderna
2022-10-31
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-11-06
Survey response — days 1–6 daily, dose 4
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain

Free text: My blood sugar has been elevated since I had the injection. It has not come down. My blood sugar levels normally fluctuate between 130 to 160. Since the injection it has stayed at 180-190.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Survey response — day 7, dose 4
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain

Free text: High blood sugar

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-01
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-12-11	Moderna	No
4	2022-10-31	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): No, my blood sugar remains constant. There was no effect on my blood sugar(type 2diabetes)

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Muscle twitching (muscle spasms) in the arm where I received the injection

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Twitching beginning at the injection site and extending down my arm.

Release 10 — day 14, dose 3

2021-12-25

Symptoms: Itching around the injection site

Release 12 — days 1–6 daily, dose 4

2022-11-06

Systemic reaction (other): My blood sugar has been elevated since I had the injection. It has not come down. My blood sugar levels normally fluctuate between 130 to 160. Since the injection it has stayed at 180-190.

Release 12 — day 7, dose 4

2022-11-08

Systemic reaction (other): High blood sugar

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	Injection site pruritus	·	·	✓
SRO	Blood glucose increased	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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