2SU-10967-20477

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 983 / WA
Registered: 2021-05-05

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-05-05
Registered in v-safe
2021-05-05
Dose 1 — Moderna
2021-05-05
Survey response — day 0, dose 1
MedDRA: Sluggishness — Feeling: Good · Fatigue or tiredness

Free text: Sluggish, as if i have been drinking or up all night before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Cloudy tipsy head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Bone cyst, Cyst, Swelling — Feeling: Fair · Site: Swelling

Free text: Cyst on my tailbone swelled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Fair

Free text: Still swelling on my tailbone cyst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Carbohydrate metabolism disorder, Cyst, Fatigue, Musculoskeletal stiffness, Pain, Self-medication, Skin discolouration — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Mowed the lawn and i was gassed out early this morning, calves are stiff. Yellow spot on my left arm. The symptoms feel like i heaved in a ton of carbohydrates. Cyst has sustained and held as i took aleve to slow the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cyst, Inflammation — Feeling: Fair · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cyst near tailbone enflamed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cyst — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling of cyst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-06-02
Dose 2 — Moderna
2021-06-02
Survey response — day 0, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Armpit still has a slow pain from first covid shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Dizziness, Headache, Migraine, Nausea — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Had the nausea and stomache pain and dizziness and sweats on and off from midnight to around noon today along with a bad migrain. It has subsided at this time of 3 pm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-06-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Moderna
2	2021-06-02	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-05

Systemic reaction (other): Sluggish, as if i have been drinking or up all night before

Release 8 — days 1–6 daily, dose 1

2021-05-06

Systemic reaction (other): Cloudy tipsy head

2021-05-07

Systemic reaction (other): Cyst on my tailbone swelled

2021-05-08

Systemic reaction (other): Still swelling on my tailbone cyst

2021-05-09

Systemic reaction (other): Mowed the lawn and i was gassed out early this morning, calves are stiff. Yellow spot on my left arm. The symptoms feel like i heaved in a ton of carbohydrates. Cyst has sustained and held as i took aleve to slow the pain.

2021-05-10

Systemic reaction (other): Cyst near tailbone enflamed

2021-05-11

Systemic reaction (other): Swelling of cyst

Release 8 — day 0, dose 2

2021-06-02

Systemic reaction (other): Armpit still has a slow pain from first covid shot

Release 8 — days 1–6 daily, dose 2

2021-06-06

Systemic reaction (other): Had the nausea and stomache pain and dizziness and sweats on and off from midnight to around noon today along with a bad migrain. It has subsided at this time of 3 pm.

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
SRO	Abdominal pain upper	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Bone cyst	○	✓	○
SRO	Carbohydrate metabolism disorder	✓	✓	✓
SRO	Cyst	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓
SRO	Sluggishness	✓	✓	✓
SRO	Swelling	✓	✓	✓

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