3AD-24853-08582

2 vaccinations 17 coded responses 26 check-ins 17 free-text entries 4 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 750 / TX
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Survey response — day 0, dose 1
MedDRA: Stress — Feeling: Fair

Free text: Feel stressed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Stress — Feeling: Poor · Site: Pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stress and no proper sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Stress, Tension — Feeling: Poor · Site: Pain · Fever · Nausea

Free text: Stress and tension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Tension — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Anxiety and tension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Poor · Fever · Fatigue or tiredness, Nausea

Free text: Not getting proper sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-10
Survey response — day 21, dose 1
MedDRA: Anxiety, Office visit, Sleep disorder — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Anxiety and sleep disorder · Healthcare visit (other): PCP visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 21, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Survey response — day 28, dose 1
MedDRA: Anxiety, Chest pain, Fear, Gastric disorder, Nervousness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Nervous, anxiety, fear, chest pain and gastric problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Sleep disorder — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Sleep disorder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Nervousness, Sleep disorder — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Free text: Nervousness and anxiety and sleep disorder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Fear — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Free text: Fear and anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-01
Survey response — day 7, dose 2
MedDRA: Sleep disorder — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Abdominal pain

Free text: Sleep disorder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 14, dose 2
MedDRA: Anxiety, Sleep disorder, Stress — Feeling: Poor

Free text: Stress and anxiety. Sleep disorder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 2
MedDRA: Anxiety, Chills, Headache, Stress — Feeling: Fair

Free text: Chills, stress, anxiety and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, sleep disorder, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 35, dose 2
MedDRA: Anxiety, Fatigue, Stress — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, stress and anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Anxiety — Feeling: Good

Free text: Anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-24	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Feel stressed

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Stress and no proper sleep

2021-03-22

Systemic reaction (other): Stress and tension

2021-03-24

Systemic reaction (other): Anxiety and tension

2021-03-26

Systemic reaction (other): Not getting proper sleep

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Anxiety and sleep disorder

Healthcare visit (other): PCP visit

Release 7 — day 28, dose 1

2021-04-17

Symptoms: Nervous, anxiety, fear, chest pain and gastric problems

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Sleep disorder

2021-04-28

Systemic reaction (other): Nervousness and anxiety and sleep disorder

2021-04-29

Systemic reaction (other): Fear and anxiety

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Sleep disorder

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Stress and anxiety. Sleep disorder

Release 8 — day 21, dose 2

2021-05-15

Symptoms: Chills, stress, anxiety and headaches

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Fatigue, sleep disorder, headache

Release 8 — day 35, dose 2

2021-05-29

Symptoms: Fatigue, stress and anxiety

Release 8 — day 42, dose 2

2021-06-05

Symptoms: Fatigue

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Anxiety

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	Office visit	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fear	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Stress	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Fear	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Tension	✓	✓	✓

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