2XM-29570-39906

2 vaccinations 6 coded responses 27 check-ins 6 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 787 / TX
Registered: 2021-03-11

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

2021-03-10
Dose 1 — Janssen/Johnson & Johnson
2021-03-11
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Experienced some fatigue and lower lows which is uncommon with sunlight/daylight increasing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, single dose
MedDRA: Back pain, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Mostly fatigue and I am usually not this tired! Also having some lower back pain. Not sure if its associated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 28, single dose
MedDRA: Pre-existing disease — Feeling: Good

Free text: Better, I think my new coffee was not working well with my plaque psoriasis/candida

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 35, single dose
MedDRA: Back pain, Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Body aches, lower back pain. Fatigue went away when I stopped drinking the organic Kirkland coffee from Costco

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-25
Dose 2 — Moderna
2021-10-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fog head

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-10-29
Report sent to call center — days 1–6 daily, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-02
Call 1 — Could Not Reach Participant
2021-11-05
Call 2 — Left Voicemail
2021-11-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Survey response — 6 months, dose 2
MedDRA: Induration, Limb discomfort — Feeling: Good · Be unable to do your normal daily activities

Free text: My legs feel heavy and hard many days

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Janssen/Johnson & Johnson
2	2021-10-25	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Experienced some fatigue and lower lows which is uncommon with sunlight/daylight increasing.

Release 6 — day 21, single dose

2021-03-31

Symptoms: Mostly fatigue and I am usually not this tired! Also having some lower back pain. Not sure if its associated

Release 7 — day 28, single dose

2021-04-07

Symptoms: Better, I think my new coffee was not working well with my plaque psoriasis/candida

Release 7 — day 35, single dose

2021-04-14

Symptoms: Body aches, lower back pain. Fatigue went away when I stopped drinking the organic Kirkland coffee from Costco

Release 10 — days 1–6 daily, dose 2

2021-10-28

Systemic reaction (other): Fog head

Release 11 — 6 months, dose 2

2022-04-25

Symptoms: My legs feel heavy and hard many days

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	Back pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Induration	·	·	✓
SD	Limb discomfort	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Brain fog	·	·	✓

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