3KQ-22799-54262

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-01-22

Relationship: Self
Race: Multiracial
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
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: None!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — day 7, dose 1
MedDRA: Muscle tightness — Feeling: Fair · Fatigue or tiredness

Free text: A tightness in my neck area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-26
Survey response — day 7, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Exhaustion...tired even if. I doa lot of bed time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 14, dose 2
MedDRA: Asthenia, Dyspepsia, Ear inflammation, Inflammation — Feeling: Fair

Free text: Indigestion, inflammation of throat & ear Carls extreme loss of energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuous exhaustion /tirednessLike fybromyology.. continuous mucus cough inability to sleep 8 hrs a night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 28, dose 2
MedDRA: Blindness, Dyspnoea, Visual impairment — Feeling: Fair

Free text: Loss of breathing @ some visual loss meaning eyes have loss readying capability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Asthenia, Dyspnoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Loss of strength, breathing, .. have made a medical Appt. · Healthcare visit (other): Medical Appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 42, dose 2
MedDRA: Asthenia, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Loss of energy/strength migraine head-aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Fatigue, Hyperhidrosis, Hypoacusis, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme exhaustion.. every meal I eat I break out in a sweat following conclusion about 1/2 hour .. decrease in vision & hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): None!

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): A tightness in my neck area

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Exhaustion...tired even if. I doa lot of bed time

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Indigestion, inflammation of throat & ear Carls extreme loss of energy

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Continuous exhaustion /tirednessLike fybromyology.. continuous mucus cough inability to sleep 8 hrs a night

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Loss of breathing @ some visual loss meaning eyes have loss readying capability

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Loss of strength, breathing, .. have made a medical Appt.

Healthcare visit (other): Medical Appt

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Loss of energy/strength migraine head-aches

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Extreme exhaustion.. every meal I eat I break out in a sweat following conclusion about 1/2 hour .. decrease in vision & hearing

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	Office visit	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blindness	✓	·	✓
SD	Cough	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear inflammation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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