392-46817-81670

2 vaccinations 9 coded responses 21 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 916 / CA
Registered: 2021-05-04

Relationship: Self
Race: Multiracial
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

2021-04-30
Dose 1 — Moderna
2021-05-04
Registered in v-safe
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Erythema, Pain — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just that the redness is not rounded but about 3 and irregular. It looks a little better than yesterday and the pain in less. I have been getting small bruises in random areas?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site erythema, Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Redness at injection site has almost disappeared, headache is better but now I have a mild case of itching on hands/fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Im still having itching in my fingers/hand, back, & knees areas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-28
Dose 2 — Moderna
2021-05-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck has been hurting really bad for about a day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck pain is still moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck is still painful and stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck pain is still hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-29
Survey response — 3 months, dose 2
MedDRA: Neck pain, Rash, Rash erythematous, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck aches, 10 round red itchy rash on lower back. Rash is 3/4 gone but neck still hurts & its been 7 days.

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

Adult check-in
2022-05-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Moderna
2	2021-05-28	Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-04

Systemic reaction (other): Sore throat, mild

2021-05-05

Systemic reaction (other): Just that the redness is not rounded but about 3 and irregular. It looks a little better than yesterday and the pain in less. I have been getting small bruises in random areas?

2021-05-06

Systemic reaction (other): Redness at injection site has almost disappeared, headache is better but now I have a mild case of itching on hands/fingers

Release 8 — day 7, dose 1

2021-05-07

Systemic reaction (other): Im still having itching in my fingers/hand, back, & knees areas

Release 8 — days 1–6 daily, dose 2

2021-05-31

Systemic reaction (other): Neck has been hurting really bad for about a day

2021-06-01

Systemic reaction (other): Neck pain is still moderate

2021-06-02

Systemic reaction (other): Neck is still painful and stiff

2021-06-03

Systemic reaction (other): Neck pain is still hurting

Release 9 — 3 months, dose 2

2021-08-29

Symptoms: Neck aches, 10 round red itchy rash on lower back. Rash is 3/4 gone but neck still hurts & its been 7 days.

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	Neck pain	✓	·	✓
SD	Rash	✓	·	✓
SD	Rash erythematous	✓	·	✓
SD	Rash pruritic	✓	·	✓
SRO	Contusion	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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