2UL-49641-55113

4 vaccinations 8 coded responses 52 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 983 / WA
Registered: 2021-01-30

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
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
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: Good · Fever · Chills, Headache

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Free text: I had dental work today which is confusing my symptoms.

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 · Site: Itching · Headache

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

Adult check-in
2021-03-04
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
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Chills, Cough, Pyrexia, Respiratory tract congestion, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Upper respiratory infection. Cough, congestion mild fever and chills.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-07
Call 1 — Left Voicemail
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Upper respiratory tract infection — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Upper respiratory infection, not Covid

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Upper respiratory infection.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-08
Call 1 — Could Not Reach Participant
2021-11-11
Call 3 — Left Voicemail
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Dose 4 — Moderna
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-22
Survey response — day 42, dose 4
MedDRA: Atrial fibrillation, Fatigue, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: AFIB with heart beat going very low then high. Fatigue in general.

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Survey response — 3 months, dose 4
MedDRA: Dental implantation, Tooth infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Infected tooth. Oral surgery for an implant to replace it.

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Survey response — 6 months, dose 4
MedDRA: Pre-existing disease — Feeling: Good · 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: Macular degeneration in my right eye. It's been dormant for months and it relapsed. I am getting good treatment so hopefully it will be controlled.

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-10
Call 2 — Left Voicemail
2022-11-10
Call 2 — Left Voicemail
2022-11-10
Call 1 — Left Voicemail
2023-05-11
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-10-28	Moderna	No
4	2022-05-11	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): I had dental work today which is confusing my symptoms.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Shortness of breath.

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Upper respiratory infection. Cough, congestion mild fever and chills.

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Upper respiratory infection, not Covid

2021-11-03

Systemic reaction (other): Upper respiratory infection.

Release 12 — day 42, dose 4

2022-06-22

Symptoms: AFIB with heart beat going very low then high. Fatigue in general.

Release 12 — 3 months, dose 4

2022-08-12

Symptoms: Infected tooth. Oral surgery for an implant to replace it.

Release 12 — 6 months, dose 4

2022-11-09

Symptoms: Macular degeneration in my right eye. It's been dormant for months and it relapsed. I am getting good treatment so hopefully it will be controlled.

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	Atrial fibrillation	·	·	✓
SD	Chills	✓	·	✓
SD	Cough	✓	·	✓
SD	Dental implantation	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Tooth infection	·	·	✓
SD	Upper respiratory tract infection	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Upper respiratory tract infection	·	·	✓

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