2VR-16326-23416

5 vaccinations 17 coded responses 38 check-ins 17 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 852 / AZ
Registered: 2021-03-04

Relationship: Self
Race: White
Ethnicity: Not 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

2021-02-04
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Dose 2 — Moderna
2021-03-04
Survey response — day 0, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Stiff neck on side of shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Still have sore neck on injection side, but not as sore as yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Sore neck and sore arm are almost back to normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: No change. Still have a slight soreness in arm and neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still a little sore in arm and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Neck pain, Pain in extremity — Feeling: Good · Site: Pain, Redness · Muscle or body aches

Free text: Soreness in arm seems to be gone. Redness at shot site is still there. Still have slight sore neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pain — Feeling: Good · Site: Pain, Redness · Muscle or body aches

Free text: Still have slight redness on arm. Sore next is not getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 2
MedDRA: Erythema, Neck pain — Feeling: Good · Site: Redness · Muscle or body aches

Free text: Still slight redness in arm and still sore neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 21, dose 2
MedDRA: Neck pain — Feeling: Good

Free text: Still have reoccurring sore neck on injection arm side. It comes and goes and seems like it will be one of the reoccurring ailments.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Moderna
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Mild stiff neck on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Still mild stiff neck on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Mild stiff neck in injection side

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Stiff mild stiff neck on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Still have mild stiff neck on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Stiff neck on injection side is almost back to normal

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — day 7, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: Stiff neck on injection side almost gone

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-17
Dose 5 — Moderna
2022-09-24
Survey response — day 7, dose 5
MedDRA: Chills, Fatigue, Pain in extremity, Unevaluable event — Feeling: Good

Free text: Evening of 5th shot, I had chills, higher temperature but not fever, very sore shot arm. The next morning I was back to normal except for being a little tired.

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-17
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-18
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-11-06	Moderna	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-09-17	Moderna	No

Free text

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): Stiff neck on side of shot

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Still have sore neck on injection side, but not as sore as yesterday.

2021-03-06

Systemic reaction (other): Sore neck and sore arm are almost back to normal.

2021-03-07

Systemic reaction (other): No change. Still have a slight soreness in arm and neck.

2021-03-08

Systemic reaction (other): Still a little sore in arm and neck

2021-03-09

Systemic reaction (other): Soreness in arm seems to be gone. Redness at shot site is still there. Still have slight sore neck

2021-03-10

Systemic reaction (other): Still have slight redness on arm. Sore next is not getting better.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Still slight redness in arm and still sore neck

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Still have reoccurring sore neck on injection arm side. It comes and goes and seems like it will be one of the reoccurring ailments.

Release 11 — days 1–6 daily, dose 4

2022-04-16

Systemic reaction (other): Mild stiff neck on injection side

2022-04-17

Systemic reaction (other): Still mild stiff neck on injection side

2022-04-18

Systemic reaction (other): Mild stiff neck in injection side

2022-04-19

Systemic reaction (other): Stiff mild stiff neck on injection side

2022-04-20

Systemic reaction (other): Still have mild stiff neck on injection side

2022-04-21

Systemic reaction (other): Stiff neck on injection side is almost back to normal

Release 11 — day 7, dose 4

2022-04-22

Systemic reaction (other): Stiff neck on injection side almost gone

Release 12 — day 7, dose 5

2022-09-24

Systemic reaction (other): Evening of 5th shot, I had chills, higher temperature but not fever, very sore shot arm. The next morning I was back to normal except for being a little tired.

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	Neck pain	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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