32J-35305-68039

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 104 / NY
Registered: 2021-03-09

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

2021-03-07
Dose 1 — Moderna
2021-03-09
Registered in v-safe
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Just a slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Injection site pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: On the 4/8/21 I did have fatigue, tired, slight feverish & injection site was sore but next day it faded away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Localised infection, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right calf got an infection but i saw a doctor today on 5/5/21 & they prescribed antibiotics for it. They said its not related to my vaccine shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Endovenous ablation, Limb operation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg surgery. Closure Vein lower Extremity

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2021-11-01
Survey response — day 0, dose 3
MedDRA: Limb operation, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Leg surgery on 9/24/21 so I'm still healing that area. So Vaccine is not the problem with body aches.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Limb operation, Pain in extremity — Feeling: Good · Joint pains

Free text: Just slight pain around my leg surgery area but thats all for now

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Limb operation — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Just from my leg surgery on 9/24/21

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Limb operation — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Joint pain is from leg surgery on 9/24/21

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 7, dose 3
MedDRA: Limb operation — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: From leg surgery on 9/24/21

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Limb operation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg surgery

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-01
Survey response — 12 months, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: sniffing,

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Moderna
2	2021-04-07	Moderna
3	2021-11-01	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Just a slight headache

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): On the 4/8/21 I did have fatigue, tired, slight feverish & injection site was sore but next day it faded away.

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Right calf got an infection but i saw a doctor today on 5/5/21 & they prescribed antibiotics for it. They said its not related to my vaccine shot.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Leg surgery. Closure Vein lower Extremity

Release 10 — day 0, dose 3

2021-11-01

Systemic reaction (other): Leg surgery on 9/24/21 so I'm still healing that area. So Vaccine is not the problem with body aches.

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Just slight pain around my leg surgery area but thats all for now

2021-11-06

Systemic reaction (other): Just from my leg surgery on 9/24/21

2021-11-07

Systemic reaction (other): Joint pain is from leg surgery on 9/24/21

Release 10 — day 7, dose 3

2021-11-08

Systemic reaction (other): From leg surgery on 9/24/21

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Leg surgery

Release 12 — 12 months, dose 3

2022-11-01

Symptoms: sniffing,

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	Endovenous ablation	·	·	✓
SD	Limb operation	·	·	✓
SD	Localised infection	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Limb operation	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pyrexia	✓	✓	✓

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