3GJ-28778-89208

5 vaccinations 19 coded responses 61 check-ins 18 free-text entries 4 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 774 / TX
Registered: 2021-01-23

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-12
Survey response — day 21, dose 1
MedDRA: Headache, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe headache today. Sinus congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Survey response — day 28, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Trouble sleeping

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

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-31
Survey response — 6 months, dose 2
MedDRA: Hepatic enzyme abnormal, Pre-existing disease, Renal function test abnormal — Feeling: Fair · 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

Free text: Im having to use my inhaler more. Think its due to the season/ humidity & wearing a mask. My liver & kidney enz were a little out of range but I was cleared until my next 6mnth checkup at Baylor St. Lukes transplant. When do I get a covid bo

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 2 — Left Voicemail
2021-10-22
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach cramps & diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Survey response — day 35, dose 3
MedDRA: Abdominal pain upper, Chills, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache/Stomachache/chills

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore muscles and back/neck

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Dose 4 — Moderna
2022-03-31
Health check-in — day 0, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-04-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-07
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-14
Survey response — day 14, dose 4
MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-05
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-12
Survey response — day 42, dose 4
MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain & headache

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-29
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Poor · 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

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — 6 months, dose 4
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 · 1 call case(s)
2022-09-30
Call 3 — Left Voicemail
2022-09-30
Call 2 — Left Voicemail
2022-11-17
Dose 5 — Moderna
2022-11-17
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-11-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-11-19
Survey response — days 1–6 daily, dose 5
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sweats

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Survey response — day 7, dose 5
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sore throat & cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Survey response — day 14, dose 5
MedDRA: Dyspnoea, Night sweats, Pyrexia — Feeling: Fair

Free text: Shortness of breath. Fever. Night sweats.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-12-15
Survey response — day 28, dose 5
MedDRA: Chills — Feeling: Fair

Free text: Chills at night

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-29
Survey response — day 42, dose 5
MedDRA: Dyspnoea, Heart rate increased, Hospitalisation, Medical counselling, Post-acute COVID-19 syndrome, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pulse rate has increased and occasionally fever and trouble breathing · Healthcare visit (other): I have had home health since I was hospitalized for issues with long covid in mid-Oct

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-30
Call X — Left Voicemail
2022-12-30
Call 3 — Left Voicemail
2022-12-30
Call 2 — Left Voicemail
2023-02-16
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-05-18
Survey response — 6 months, dose 5
MedDRA: Carditis, Hospitalisation, Kidney infection, Medical counselling, Pre-existing disease, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-05-18
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-05-19
Call 1 — Left Voicemail
2023-05-19
Call 1 — Left Voicemail
2023-05-19
Call 1 — Left Voicemail
2023-05-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-03-02	Moderna
3	2021-10-22	Moderna	No
4	2022-03-31	Moderna	No
5	2022-11-17	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Severe headache today. Sinus congestion.

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Trouble sleeping

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Im having to use my inhaler more. Think its due to the season/ humidity & wearing a mask. My liver & kidney enz were a little out of range but I was cleared until my next 6mnth checkup at Baylor St. Lukes transplant. When do I get a covid bo

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Stomach cramps & diarrhea

Release 10 — day 35, dose 3

2021-11-26

Symptoms: Headache/Stomachache/chills

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Sore muscles and back/neck

Release 11 — day 14, dose 4

2022-04-14

Symptoms: Nausea

Release 11 — day 42, dose 4

2022-05-12

Symptoms: Joint pain & headache

Release 12 — 6 months, dose 4

2022-09-29

Symptoms: Covid

Release 12 — days 1–6 daily, dose 5

2022-11-19

Systemic reaction (other): Sweats

2022-11-20

Systemic reaction (other): Sore throat

2022-11-21

Systemic reaction (other): Sore throat

2022-11-22

Systemic reaction (other): Sore throat

2022-11-23

Systemic reaction (other): Sore throat

Release 12 — day 7, dose 5

2022-11-24

Systemic reaction (other): Sore throat & cough

Release 12 — day 14, dose 5

2022-12-01

Symptoms: Shortness of breath. Fever. Night sweats.

Release 12 — day 28, dose 5

2022-12-15

Symptoms: Chills at night

Release 12 — day 42, dose 5

2022-12-29

Symptoms: Pulse rate has increased and occasionally fever and trouble breathing

Healthcare visit (other): I have had home health since I was hospitalized for issues with long covid in mid-Oct

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	Hospitalisation	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Post-acute COVID-19 syndrome	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	·	·	✓
SD	Carditis	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Hepatic enzyme abnormal	✓	·	✓
SD	Hospitalisation	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Kidney infection	·	·	✓
SD	Medical counselling	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Night sweats	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Renal function test abnormal	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Cough	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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