2KZ-22941-05984

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 460 / IN
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Survey response — day 0, dose 1
MedDRA: Myalgia — Feeling: Good

Free text: A very low level of deep IM soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Fatigue or tiredness

Free text: Soreness near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Very Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Good

Free text: Mild constipation on 3rd day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 7, dose 1
MedDRA: Arthralgia, Tendonitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Moderate tendonitis and pain in toe joint (related?)

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

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Joint swelling, Peripheral swelling, Pre-existing disease, Tendon pain — Feeling: Good · Be unable to do your normal daily activities

Free text: since 5 days after the first shot I had a swollen left toe, then my left Achilles tendon got tight and sore, then a toe on my other foot swelled up red, after the 3rd week my left ankle swelled up. I have never had foot or ankle problems ever in my life... Ibuprofen and elevation has helped but it persists. I got the second moderna shot today so I'll see how it goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Toes swelling ever since the 1st shot... Achilles was swollen for a while... Ankle and toe swelling persists after 4 weeks... Somehow appears to be better since taking the second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Joint swelling, Musculoskeletal stiffness, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Swollen toesAnkle swelling Achilles stiffening persists.Since 3 days after the first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Haematospermia, Joint swelling, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore\swollen achilles, ankle, toes,Hematosperma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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: COVID positive in March

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 12 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Could Not Reach Participant
2022-04-22
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): A very low level of deep IM soreness

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Soreness near injection site

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Very Mild dizziness

2021-03-22

Systemic reaction (other): Mild constipation on 3rd day

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Moderate tendonitis and pain in toe joint (related?)

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): since 5 days after the first shot I had a swollen left toe, then my left Achilles tendon got tight and sore, then a toe on my other foot swelled up red, after the 3rd week my left ankle swelled up. I have never had foot or ankle problems ever in my life... Ibuprofen and elevation has helped but it persists. I got the second moderna shot today so I'll see how it goes

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Toes swelling ever since the 1st shot... Achilles was swollen for a while... Ankle and toe swelling persists after 4 weeks... Somehow appears to be better since taking the second shot

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Swollen toesAnkle swelling Achilles stiffening persists.Since 3 days after the first shot

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Sore\swollen achilles, ankle, toes,Hematosperma

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: COVID positive in March

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	COVID-19	·	·	✓
SD	Haematospermia	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tendon pain	✓	✓	✓
SRO	Tendonitis	✓	✓	✓

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