38P-12927-83881

4 vaccinations 10 coded responses 29 check-ins 9 free-text entries 4 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 874 / NM
Registered: 2021-02-11

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

2021-02-10
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Hot flush — Feeling: Good

Free text: No fever but get a feeling of flash of warmth like what a woman feels with a hot flash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · 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 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Being tired all the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 42, dose 2
MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Flatulence, Food intolerance — Feeling: Good

Free text: I can no longer tolerate any beverages that contain carbonation such as soft drinks, beer etc. I have a lot of flatulence/gas the next day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Food intolerance — Feeling: Good

Free text: I can no longer tolerate anything with carbonation in it, such as soft drinks or beer

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-14
Dose 3 — Moderna
2022-03-08
Survey response — 12 months, dose 2
MedDRA: Nephrectomy, Renal cancer — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Kidney cancer · Healthcare visit (other): Kidney removal

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 12 months, 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

Hospitalization · 1 call case(s)
2022-03-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-22
Dose 4 — Moderna
2022-06-26
Survey response — day 35, dose 4
MedDRA: Renal cancer — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: I have discovered I had kidney cancer in January 2022

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Report sent to call center — day 35, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-06-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-21
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid 19 illness on July 26, 2022

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Survey response — 6 months, dose 4
MedDRA: Depression — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Depression

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Report sent to call center — 6 months, dose 4
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-11-21
Call 2 — Left Voicemail
2023-05-26
Survey response — 12 months, dose 4
MedDRA: Asthenia — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-26
Call case (no matching report) — Unsuccessful
2023-05-30
Call 1 — Left Voicemail
2023-05-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-08	Moderna
3	2021-11-14	Moderna	No
4	2022-05-22	Moderna	No

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): No fever but get a feeling of flash of warmth like what a woman feels with a hot flash

Release 6 — day 21, dose 2

2021-03-29

Symptoms: Being tired all the time

Release 7 — day 42, dose 2

2021-04-19

Symptoms: Nauseous

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: I can no longer tolerate any beverages that contain carbonation such as soft drinks, beer etc. I have a lot of flatulence/gas the next day.

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: I can no longer tolerate anything with carbonation in it, such as soft drinks or beer

Release 11 — 12 months, dose 2

2022-03-08

Symptoms: Kidney cancer

Healthcare visit (other): Kidney removal

Release 12 — day 35, dose 4

2022-06-26

Symptoms: I have discovered I had kidney cancer in January 2022

Release 12 — 3 months, dose 4

2022-08-21

Symptoms: Covid 19 illness on July 26, 2022

Release 12 — 6 months, dose 4

2022-11-20

Symptoms: Depression

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
HCVO	Nephrectomy	·	·	✓
SD	Asthenia	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Food intolerance	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Renal cancer	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hot flush	✓	✓	✓

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