35F-17791-24872

5 vaccinations 16 coded responses 65 check-ins 16 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 532 / WI
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme fatigue. Im feeling completely wiped out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Myalgia, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain on left side of my neck

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

Adult check-in
2021-05-11
Survey response — day 42, dose 2
MedDRA: Anxiety, Depression, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe sleep disruption. Major anxiety and depression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Gingival pain, Toothache — Feeling: Fair

Free text: Soreness in my teeth and gums

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · 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: Poor · Site: Pain, Redness, Swelling · Fever · Chills, 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: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, 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, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Survey response — day 35, dose 3
MedDRA: Fatigue, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue Severe sleep disruption

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 42, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-07
Dose 4 — Moderna
2022-04-07
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-05
Survey response — day 28, dose 4
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aching joints and muscles.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Survey response — day 42, dose 4
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint and muscle pain.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Dose 5 — Moderna
2022-09-28
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-30
Survey response — days 1–6 daily, dose 5
MedDRA: Pollakiuria — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Unusual frequent urinating

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Pollakiuria — Feeling: Poor · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Frequent urination

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Health check-in — day 7, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-09
Survey response — day 42, dose 5
MedDRA: Fatigue, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe sleep disruptions. Extreme fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Insomnia, Sleep disorder, Terminal insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe sleep disruptions. Insomnia and very early waking.

MedDRA releases: 2024-11 · check-in free text available
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-10-29	Moderna	No
4	2022-04-07	Moderna	No
5	2022-09-28	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Extreme fatigue. Im feeling completely wiped out.

2021-04-01

Systemic reaction (other): Night sweats

2021-04-02

Systemic reaction (other): Night sweats

2021-04-03

Systemic reaction (other): Extreme fatigue

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Muscle pain on left side of my neck

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Severe sleep disruption. Major anxiety and depression.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Soreness in my teeth and gums

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Fatigue Severe sleep disruption

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Joint pain

Release 11 — day 28, dose 4

2022-05-05

Symptoms: Aching joints and muscles.

Release 11 — day 42, dose 4

2022-05-19

Symptoms: Joint and muscle pain.

Release 12 — days 1–6 daily, dose 5

2022-09-30

Systemic reaction (other): Unusual frequent urinating

2022-10-01

Systemic reaction (other): Frequent urination

2022-10-02

Systemic reaction (other): Severe fatigue

Release 12 — day 42, dose 5

2022-11-09

Symptoms: Severe sleep disruptions. Extreme fatigue.

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: Severe sleep disruptions. Insomnia and very early waking.

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	Depression	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gingival pain	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Terminal insomnia	·	·	✓
SD	Toothache	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pollakiuria	·	·	✓

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