2TV-21449-35999

5 vaccinations 9 coded responses 12 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 902 / CA
Registered: 2021-04-21

Relationship: Self
Race: Other
Ethnicity: 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

2021-04-21
Registered in v-safe
2021-04-21
Dose 1 — Moderna
2021-04-28
Survey response — day 7, dose 1
MedDRA: Arthritis, Asthma, Back pain, Diabetes mellitus, Hypertension, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I HAVE HIGH BLOOD PRESURE DIABETIC ASMATIC SOME ARTHRITIS LOWER BACK PAIN I TAKE MEDICATION PILLS FOR ALL EXCEPT BACK PAIN I USE CANNABIS FOR THAT THE PILLS I TAKE COMBINED GIVE SIDE AFFECTS SIMILAR TO COVID19 IT GETS CONFUSING WHAT ARE SIDE AFFECTS OF THE PILLS OR WHAT I DO UNDERSTAND THE SIDE AFFECTS OF CANNABIS I DON'T WHANT TO BE A STATISTIC OF THE OPIOID PILL EPADEMIC

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-19
Dose 2 — Moderna
2021-05-26
Survey response — day 7, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: CHEST PAIN GOES AWAY WHEN I REST

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 14, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: STILL MINOR CHEST PAIN AT TIMES

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

Adult check-in
2021-06-18
Survey response — day 28, dose 2
MedDRA: Dizziness, Fatigue, Medical cannabis therapy, Pre-existing disease, Pruritus, Substance use — Feeling: Fair · Be unable to do your normal daily activities

Free text: STILL TALKING MEDICATION FOR ASMA, HIGH BLOOD PRESURE, DIABETES, AND ULCER MEDICATION NEW THE SIDE AFFECTS OF MY MEDICATION ARE SIMILAR TO COVID SYMPTOMS LIKE ITCHY THROUGHOUT DIZZINESS TIREDNESS I SMOKE & DRINK WEED TO ELLIVIATE THE SIDE AFFECTS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 35, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: STILL SLITE CHEST PAIN SCHEDULED A ELECTROCARDIOGRAM 6-9-21 STARTED NEW PRESCRIPTION BUPROPION AND PATCHES TO QUIT SMOKING

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 42, dose 2
MedDRA: Anxiety, Chest pain, Dizziness, Fatigue, Irritability, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: DIZZY TIRED IM ON A PERSCRIPTION NIGGATEEN PATCH STOPING SMOKING SO A LITTLE ANXIOUS IRRITATED CHEST PAIN IS NOT AS BAD SINCE I STARTED THE PATCH AND THE SIDE AFFECTS OF ALL THE OTHER PERSCRIPTIONS I TAKE HAVE A SAFE 4th OF JULY

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SINCE MY LAST CHECK IN A FEW MONTHS AGO I'VE BEEN PRESCRIBED NITROGLYCERIN BUT I DON'T TAKE IT UNLESS I REALLY REALLY NEED IT I QUITE SMOKING CIGARETTES I STILL SMOKE AND DRINK CANIBIS 2 TO 3 JOINTS A DAY FOR ARTHRITIS AND OTHER PAIN I HAVE

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Dose 3 — Moderna
2022-03-31
Dose 4 — Moderna
2022-05-21
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-06-30
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Arthritis, Asthma, Back pain, Chest pain, Injury, Musculoskeletal discomfort — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SLIGHT CHEST, PAIN RIGHT SHOULDER PAIN ARTHRITIS AND INJURY, MID BACK PAIN KNEE DISCOMFORT LEFT AND RIGHT RING FINGER ASMATIC I BELIEVE I REPORTED THESE SYMPTOMS B4 HAVE A GREAT AND WONDERFUL DAY ???????????

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Survey response — 6 months, dose 4
MedDRA: Cardiac disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: HEART CONGRATULATIONS

MedDRA releases: 2024-11 · check-in free text available
2023-01-05
Dose 5 — Pfizer-BioNTech

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-19	Moderna
3	2021-11-20	Moderna	No
4	2022-03-31	Moderna	No
5	2023-01-05	Pfizer-BioNTech	No

Free text

Release 8 — day 7, dose 1

2021-04-28

Systemic reaction (other): I HAVE HIGH BLOOD PRESURE DIABETIC ASMATIC SOME ARTHRITIS LOWER BACK PAIN I TAKE MEDICATION PILLS FOR ALL EXCEPT BACK PAIN I USE CANNABIS FOR THAT THE PILLS I TAKE COMBINED GIVE SIDE AFFECTS SIMILAR TO COVID19 IT GETS CONFUSING WHAT ARE SIDE AFFECTS OF THE PILLS OR WHAT I DO UNDERSTAND THE SIDE AFFECTS OF CANNABIS I DON'T WHANT TO BE A STATISTIC OF THE OPIOID PILL EPADEMIC

Release 8 — day 7, dose 2

2021-05-26

Systemic reaction (other): CHEST PAIN GOES AWAY WHEN I REST

Release 8 — day 14, dose 2

2021-06-04

Symptoms: STILL MINOR CHEST PAIN AT TIMES

Release 9 — day 28, dose 2

2021-06-18

Symptoms: STILL TALKING MEDICATION FOR ASMA, HIGH BLOOD PRESURE, DIABETES, AND ULCER MEDICATION NEW THE SIDE AFFECTS OF MY MEDICATION ARE SIMILAR TO COVID SYMPTOMS LIKE ITCHY THROUGHOUT DIZZINESS TIREDNESS I SMOKE & DRINK WEED TO ELLIVIATE THE SIDE AFFECTS

Release 9 — day 35, dose 2

2021-06-24

Symptoms: STILL SLITE CHEST PAIN SCHEDULED A ELECTROCARDIOGRAM 6-9-21 STARTED NEW PRESCRIPTION BUPROPION AND PATCHES TO QUIT SMOKING

Release 9 — day 42, dose 2

2021-07-02

Symptoms: DIZZY TIRED IM ON A PERSCRIPTION NIGGATEEN PATCH STOPING SMOKING SO A LITTLE ANXIOUS IRRITATED CHEST PAIN IS NOT AS BAD SINCE I STARTED THE PATCH AND THE SIDE AFFECTS OF ALL THE OTHER PERSCRIPTIONS I TAKE HAVE A SAFE 4th OF JULY

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: SINCE MY LAST CHECK IN A FEW MONTHS AGO I'VE BEEN PRESCRIBED NITROGLYCERIN BUT I DON'T TAKE IT UNLESS I REALLY REALLY NEED IT I QUITE SMOKING CIGARETTES I STILL SMOKE AND DRINK CANIBIS 2 TO 3 JOINTS A DAY FOR ARTHRITIS AND OTHER PAIN I HAVE

Release 12 — 3 months, dose 4

2022-06-30

Symptoms: SLIGHT CHEST, PAIN RIGHT SHOULDER PAIN ARTHRITIS AND INJURY, MID BACK PAIN KNEE DISCOMFORT LEFT AND RIGHT RING FINGER ASMATIC I BELIEVE I REPORTED THESE SYMPTOMS B4 HAVE A GREAT AND WONDERFUL DAY ???????????

Release 12 — 6 months, dose 4

2022-09-30

Symptoms: HEART CONGRATULATIONS

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	Anxiety	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Asthma	·	·	✓
SD	Back pain	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injury	·	·	✓
SD	Irritability	✓	✓	✓
SD	Medical cannabis therapy	✓	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Substance use	○	✓	○
SRO	Arthritis	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Diabetes mellitus	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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