2NU-10312-65911

3 vaccinations 10 coded responses 20 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 760 / TX
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Mixed connective tissue disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mixed connective tissue disease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: I couldnt sleep last night for joint pain. I dont know if it is related. I have other diagnoses that could explain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: I have medical conditions that cause fatigue Andy joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: I have other health issues that cause these same symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Last night and today sucked! I was hurting and couldnt sleep!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im experiencing what the doctors call a flare up. Also my labs came back with really high absolute monocytes at 1334 and absolute esinophils at 601.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 21, dose 2
MedDRA: Arthralgia, Tendon pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Increased pain in joints and tendons.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 42, dose 2
MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Dose 3 — Moderna
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Arthralgia, Headache, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Booster shot serious adverse reactions, fever 105 to 95 almost went into adrenal crisis. Headache level 8, joint pain on fire!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Mixed connective tissue disease, Myalgia, Tendon pain — 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 · Outpatient clinic or urgent care clinic visit

Free text: Joint, tendon and muscle pain increase Have diagnosis of MCTD Things have gotten bad

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 6 months, dose 3
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)
2022-02-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-08-20	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Mixed connective tissue disease

2021-02-02

Systemic reaction (other): I couldnt sleep last night for joint pain. I dont know if it is related. I have other diagnoses that could explain.

2021-02-04

Systemic reaction (other): I have medical conditions that cause fatigue Andy joint pain

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): I have other health issues that cause these same symptoms.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Last night and today sucked! I was hurting and couldnt sleep!

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Im experiencing what the doctors call a flare up. Also my labs came back with really high absolute monocytes at 1334 and absolute esinophils at 601.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Increased pain in joints and tendons.

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Joint pain, headaches

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Booster shot serious adverse reactions, fever 105 to 95 almost went into adrenal crisis. Headache level 8, joint pain on fire!

Release 11 — 6 months, dose 3

2022-02-18

Symptoms: Joint, tendon and muscle pain increase Have diagnosis of MCTD Things have gotten bad

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	Adverse reaction	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Mixed connective tissue disease	·	·	✓
SD	Myalgia	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Tendon pain	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Mixed connective tissue disease	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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