35M-31083-95292

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 940 / CA
Registered: 2021-05-13

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-13
Registered in v-safe
2021-05-13
Dose 1 — Moderna
2021-05-13
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: 6h after the shot, deltoid muscle that received the shot is starting to get slightly sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Injection site pain, Mobility decreased, Myalgia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: My productivity was maybe half today. I needed more frequent breaks and more time than usual to produce a presentation. The soreness in injection site worsened. I am now avoiding using my arm due to muscle pain. This has resulted in shoulder pain on the opposite side which has been compensating, due to overuse and poor posture. By evening I was feeling the beginnings of a slight headache. I went to bed early, about 7pm, and awoke feeling much better near 11pm. Call it a long afternoon nap.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Loss of personal independence in daily activities, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: The deltoid soreness at injection site is almost gone and no linger bothers my movement and activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 21, dose 1
MedDRA: Heart rate irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had irregular heartbeats for a number of days the last week+. I did not connect it to the vaccine, so my previous reports say I was fine. My medical service provider had me discontinue melatonin. A few days later, heartbeat mostly normalized.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Dose 2 — Moderna
2021-06-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lethargy, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, 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

Free text: Lethargic, sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated resting heart rate. It has been increasing day by day since the shot so far. Was 51 bpm before the second shot. Rose to 55 bpm yesterday, 61 bpm today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate abnormal, Poor quality sleep — Feeling: Good · Fatigue or tiredness

Free text: Sleep quality improved last night. Resting heart rate is halfway back down to what it used to be before the second dose. Need to catch up on sleep I think, to feel completely back to normal again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Took a nap in the afternoon to catch up on more of the lost sleep of the first 3 nights after the dose. Felt back to normal after the nap.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Still catching up on sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Call 1 — Could Not Reach Participant
2022-01-13
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-13	Moderna
2	2021-06-12	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-13

Systemic reaction (other): 6h after the shot, deltoid muscle that received the shot is starting to get slightly sore

Release 8 — days 1–6 daily, dose 1

2021-05-14

Systemic reaction (other): My productivity was maybe half today. I needed more frequent breaks and more time than usual to produce a presentation. The soreness in injection site worsened. I am now avoiding using my arm due to muscle pain. This has resulted in shoulder pain on the opposite side which has been compensating, due to overuse and poor posture. By evening I was feeling the beginnings of a slight headache. I went to bed early, about 7pm, and awoke feeling much better near 11pm. Call it a long afternoon nap.

2021-05-16

Systemic reaction (other): The deltoid soreness at injection site is almost gone and no linger bothers my movement and activities

Release 8 — day 21, dose 1

2021-06-03

Symptoms: I had irregular heartbeats for a number of days the last week+. I did not connect it to the vaccine, so my previous reports say I was fine. My medical service provider had me discontinue melatonin. A few days later, heartbeat mostly normalized.

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Lethargic, sleepy

2021-06-14

Systemic reaction (other): Elevated resting heart rate. It has been increasing day by day since the shot so far. Was 51 bpm before the second shot. Rose to 55 bpm yesterday, 61 bpm today.

2021-06-15

Systemic reaction (other): Sleep quality improved last night. Resting heart rate is halfway back down to what it used to be before the second dose. Need to catch up on sleep I think, to feel completely back to normal again.

2021-06-16

Systemic reaction (other): Took a nap in the afternoon to catch up on more of the lost sleep of the first 3 nights after the dose. Felt back to normal after the nap.

2021-06-17

Systemic reaction (other): Still catching up on sleep.

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	Heart rate irregular	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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