3GE-22578-61812

2 vaccinations 9 coded responses 26 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 535 / WI
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Only slight arm aches in injection arm only.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Soreness in upper left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Injection site soreness has diminished a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
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
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Pre-existing disease, Tinnitus — Feeling: Fair · Muscle or body aches

Free text: Slight dizziness past 24 hours. Increased tinnitus (preexisting condition) symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Neck pain — Feeling: Good · Muscle or body aches

Free text: Sore neck and shoulder muscles. Unsure if related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Myalgia, Neck pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Tired. Have some neck muscle soreness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 7, dose 2
MedDRA: Fatigue, Hypersomnia — Feeling: Good · Fatigue or tiredness

Free text: Feeling need to rest & sleep a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 28, dose 2
MedDRA: Ear congestion, Fatigue, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Achy, tired, stuffy ears. Spring allergy symptoms, but more pronounced this year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Fatigue, Palpitations, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, heart palpitations, asthma symptoms, very occasional unusual whole-body allergic sensations. Not sure if any of these are related to covid vaccination. I have had the first 3 symptoms prior to 2020.

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

Adult check-in
2022-03-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-13	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Only slight arm aches in injection arm only.

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Soreness in upper left arm

2021-02-14

Systemic reaction (other): Injection site soreness has diminished a lot.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Slight dizziness past 24 hours. Increased tinnitus (preexisting condition) symptoms.

2021-03-18

Systemic reaction (other): Sore neck and shoulder muscles. Unsure if related.

2021-03-19

Systemic reaction (other): Tired. Have some neck muscle soreness.

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): Feeling need to rest & sleep a lot.

Release 7 — day 28, dose 2

2021-04-10

Symptoms: Achy, tired, stuffy ears. Spring allergy symptoms, but more pronounced this year.

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Fatigue, heart palpitations, asthma symptoms, very occasional unusual whole-body allergic sensations. Not sure if any of these are related to covid vaccination. I have had the first 3 symptoms prior to 2020.

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	Ear congestion	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tinnitus	✓	✓	✓

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