3F2-10111-82319

4 vaccinations 10 coded responses 40 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 785 / TX
Registered: 2021-01-01

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-31
Dose 1 — Moderna
2021-01-01
Registered in v-safe
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Survey response — day 0, dose 2
MedDRA: Flushing — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Face felt flushed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Listless — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Listless

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 7, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Bad joint pain always had some before but yesterday it was a horrible paralysing pain in my upper neck and breast bone!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Slight headache on one side of head left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 28, dose 2
MedDRA: Chills, Self-medication — Feeling: Good

Free text: Felt low grade chills relief with 650 mg of Tylenol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-25
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Slightl nasal drainage

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Survey response — day 0, dose 4
MedDRA: Myalgia — Feeling: Good

Free text: Not today but have muscle pain that has increase slightly!

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-12
Survey response — day 14, dose 4
MedDRA: Depressed mood, Fatigue, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Feet actually my heels have pain that I never experienced before and tired ness depressed feeling!

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-30
Survey response — 3 months, dose 4
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Tired low energy!

MedDRA releases: 2024-11 · check-in free text available
2023-04-28
Survey response — 12 months, dose 4
MedDRA: Back pain, Neck pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-28
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2021-10-25	Moderna	No
4	2022-04-28	Moderna	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-01-28

Systemic reaction (other): Face felt flushed

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Listless

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): Bad joint pain always had some before but yesterday it was a horrible paralysing pain in my upper neck and breast bone!

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Slight headache on one side of head left side

Release 4 — day 28, dose 2

2021-02-25

Symptoms: Felt low grade chills relief with 650 mg of Tylenol

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Slightl nasal drainage

Release 11 — day 0, dose 4

2022-04-28

Systemic reaction (other): Not today but have muscle pain that has increase slightly!

Release 11 — day 14, dose 4

2022-05-12

Symptoms: Feet actually my heels have pain that I never experienced before and tired ness depressed feeling!

Release 12 — 3 months, dose 4

2022-07-30

Symptoms: Tired low energy!

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	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Depressed mood	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Listless	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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