3J6-18310-34500

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Joint pain & back aches are normal for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Normal joint pain & body/muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good · Joint pains, Muscle or body aches

Free text: Normal condition for aches, pains and stiffnessj.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fairly high pule rate 88 BPM.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Myalgia, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: My normal joint pain, body muscle & body aches seem a little higher than normal, but not to the severe level.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Very mild body aches and back to ny normal moderate joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Usual body aches and joint pain not related to COVID-19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Normal/usuak body aches ans joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Hypoaesthesia, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in my left hip that radiates from lower back through hip all the way down to the foot at different times. There is also numbness similar to parts of the body going to sleep. Pain goes from a dull ache to a sharp pain at 10, almost unbearab

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Joint pain & back aches are normal for me.

2021-01-31

Systemic reaction (other): Normal joint pain & body/muscle aches.

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Normal condition for aches, pains and stiffnessj.

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Fairly high pule rate 88 BPM.

2021-02-25

Systemic reaction (other): My normal joint pain, body muscle & body aches seem a little higher than normal, but not to the severe level.

2021-02-26

Systemic reaction (other): Very mild body aches and back to ny normal moderate joint pain.

2021-02-27

Systemic reaction (other): Usual body aches and joint pain not related to COVID-19.

2021-02-28

Systemic reaction (other): Normal/usuak body aches ans joint pain.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Pain in my left hip that radiates from lower back through hip all the way down to the foot at different times. There is also numbness similar to parts of the body going to sleep. Pain goes from a dull ache to a sharp pain at 10, almost unbearab

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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