36G-34374-18585

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 000
Registered: 2021-03-26

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

2021-02-26
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: Chills, Immediate post-injection reaction, Injection site pain, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I had noticeable symptoms after my first shot. Arm started hurting at injection site for 3 days, and 30 hours after shot got low fever, chills that lasted near 24 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Muscle tightness, Neck pain — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Left neck, down left arm, muscular tightness or cramp, hurting to move neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-02
Survey response — day 7, dose 2
MedDRA: Nasal discharge discolouration, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem to have a sinus infection, or exposure to variant, as can blow yellow snot out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 2
MedDRA: Fatigue, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wondering if I have gotten exposed to a variant, as after mowing lawns, weeding for 4 hours on Tuesday, and then jogging and exercising on Wednesday, by night I felt lethargic, and tired. This continued Thursday, but after vitamin C, improved Friday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Fatigue, Lethargy, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Almost any over exertion, or what was a normal exercise routine before the pandemic, brings on a tired, lethargic feeling that lasts days, or until I take vitamin C tablets.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Muscle spasms, Myalgia, Peripheral swelling, Skin irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not sure if its related. Muscle aches; cramps in hands, arms, legs; irritation/swelling in bottom of foot. Otherwise less lethargic feeling, though have mainly had to stop exercising.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Adverse reaction, Laboratory test abnormal — Feeling: Good · Be unable to work or attend school

Free text: I tested positive in early January 2022. Symptoms lasted for a few weeks. I tested positive again 2 weeks later, but then was negative a week later.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Free text

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): I had noticeable symptoms after my first shot. Arm started hurting at injection site for 3 days, and 30 hours after shot got low fever, chills that lasted near 24 hours

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Left neck, down left arm, muscular tightness or cramp, hurting to move neck.

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Seem to have a sinus infection, or exposure to variant, as can blow yellow snot out.

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Wondering if I have gotten exposed to a variant, as after mowing lawns, weeding for 4 hours on Tuesday, and then jogging and exercising on Wednesday, by night I felt lethargic, and tired. This continued Thursday, but after vitamin C, improved Friday. cut off by CDC

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Almost any over exertion, or what was a normal exercise routine before the pandemic, brings on a tired, lethargic feeling that lasts days, or until I take vitamin C tablets.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Not sure if its related. Muscle aches; cramps in hands, arms, legs; irritation/swelling in bottom of foot. Otherwise less lethargic feeling, though have mainly had to stop exercising.

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: I tested positive in early January 2022. Symptoms lasted for a few weeks. I tested positive again 2 weeks later, but then was negative a week later.

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	Adverse reaction	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Skin irritation	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Nasal discharge discolouration	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓

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