3HW-25673-23546

5 vaccinations 10 coded responses 41 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 234 / VA
Registered: 2021-02-01

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

2021-01-30
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Nausea

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Therapeutic response unexpected — Feeling: Good · Site: Pain · Chills

Free text: An FYI, I found that after my second vaccine, I came home and had a good hour of exercise, and it seemed to lessen the side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Abdominal pain

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-05
Survey response — day 35, dose 2
MedDRA: Chills — Feeling: Fair

Free text: Had some chills the last two nights. They did pass after a few minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Sore arm at the shot site (L). Seems to have passed. Not sore today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Chills — Feeling: Good

Free text: Just chills during the night for a few minutes. Happens once or twice during the week, to once every three or four weeks.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Survey response — day 21, dose 3
MedDRA: Chills — Feeling: Good

Free text: Got the chills during the night. After a few minutes (10 minutes, or so.)

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

Free text: Occasional chills. For about 10 to 15 minutes. Then they pass. Occured about three times.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-19
Dose 4 — Moderna
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Fatigue, Lethargy — Feeling: Fair

Free text: A bit lethargic. Tired. Just got a booster shot on Wednesday too.

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Dose 5 — Moderna
Co-administered: Flu
2022-10-13
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 28, dose 5
MedDRA: Chills, Sleep disorder — Feeling: Good

Free text: Just chills one night this week when I was sleeping. Passed after a few minutes. Fell back to sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — day 35, dose 5
MedDRA: Chills — Feeling: Fair

Free text: Chills during the night. They leave after a few minutes. Two or three times during the week.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-30
Survey response — 3 months, dose 5
MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach bug

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 3 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 · 1 call case(s)
2023-01-04
Call 1 — Left Voicemail
2023-01-05
Call 2 — Left Voicemail
2023-01-11
Call 3 — Could Not Reach Participant
2023-01-11
Callback requested for
05:00PM
2023-03-31
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-10-22	Moderna	No
4	2022-04-19	Moderna	No
5	2022-09-30	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): An FYI, I found that after my second vaccine, I came home and had a good hour of exercise, and it seemed to lessen the side effects.

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Had some chills the last two nights. They did pass after a few minutes.

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Sore arm at the shot site (L). Seems to have passed. Not sore today.

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Just chills during the night for a few minutes. Happens once or twice during the week, to once every three or four weeks.

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Got the chills during the night. After a few minutes (10 minutes, or so.)

Release 10 — day 28, dose 3

2021-11-19

Symptoms: Occasional chills. For about 10 to 15 minutes. Then they pass. Occured about three times.

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: A bit lethargic. Tired. Just got a booster shot on Wednesday too.

Release 12 — day 28, dose 5

2022-10-28

Symptoms: Just chills one night this week when I was sleeping. Passed after a few minutes. Fell back to sleep.

Release 12 — day 35, dose 5

2022-11-04

Symptoms: Chills during the night. They leave after a few minutes. Two or three times during the week.

Release 12 — 3 months, dose 5

2022-12-30

Symptoms: Stomach bug

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	Chills	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Sleep disorder	·	·	✓
SRO	Therapeutic response unexpected	✓	✓	✓

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