3XX-75758-46897

4 vaccinations 20 coded responses 54 check-ins 20 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 189 / PA
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Just tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Slight fatigue, better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Pain noted is NOT severe, is tolerable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Good · Headache, Fatigue or tiredness

Free text: Slight a.m.vertigo upon waking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Small rash on ribcage...may not be related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness

Free text: Much better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Morning only headache. Gone after workout

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

Adult check-in
2021-05-04
Survey response — day 21, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: Muscle aches at neck and shoulders

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 35, dose 2
MedDRA: Medical counselling, Muscle fatigue, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Vertigo, muscle fatigue · Healthcare visit (other): Consult about vertigo on phone with my ENT doc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — day 42, dose 2
MedDRA: Physiotherapy, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have Veryigo · Healthcare visit (other): Physical therapy scheduled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Dose 3 — Moderna
2021-10-16
Survey response — day 0, dose 3
MedDRA: Fatigue — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Just plain tired.

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness

Free text: Vertigo first thing in a.m.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Good · Fatigue or tiredness

Free text: Vertigo....

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Good · Fatigue or tiredness

Free text: Vertigo in a.m.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Nausea, Vertigo — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Vertigo with nausea in p.m. and just vertigo in a.m.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Good · Fatigue or tiredness

Free text: Slight vertigo w. eye drops

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — day 7, dose 3
MedDRA: Vertigo — Feeling: Good · Fatigue or tiredness

Free text: Vertigo in a.m.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-06
Survey response — day 21, dose 3
MedDRA: Vertigo — Feeling: Good

Free text: On and off vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-07
Call 1 — Left Voicemail
2022-04-16
Survey response — 6 months, dose 3
MedDRA: Office visit, Retinal tear — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Retinal tear in right eye, not covid related · Healthcare visit (other): My opthalmologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-11
Dose 4 — Moderna
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-11
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-13	Moderna
3	2021-10-16	Moderna	No
4	2022-05-11	Moderna	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Just tired

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Slight fatigue, better than yesterday

2021-03-22

Systemic reaction (other): Pain noted is NOT severe, is tolerable

2021-03-24

Systemic reaction (other): Slight a.m.vertigo upon waking

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Small rash on ribcage...may not be related

2021-04-15

Systemic reaction (other): Much better than yesterday

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Morning only headache. Gone after workout

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Muscle aches at neck and shoulders

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Vertigo, muscle fatigue

Healthcare visit (other): Consult about vertigo on phone with my ENT doc

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Still have Veryigo

Healthcare visit (other): Physical therapy scheduled

Release 10 — day 0, dose 3

2021-10-16

Systemic reaction (other): Just plain tired.

Release 10 — days 1–6 daily, dose 3

2021-10-17

Systemic reaction (other): Vertigo

2021-10-18

Systemic reaction (other): Vertigo first thing in a.m.

2021-10-19

Systemic reaction (other): Vertigo....

2021-10-20

Systemic reaction (other): Vertigo in a.m.

2021-10-21

Systemic reaction (other): Vertigo with nausea in p.m. and just vertigo in a.m.

2021-10-22

Systemic reaction (other): Slight vertigo w. eye drops

Release 10 — day 7, dose 3

2021-10-23

Systemic reaction (other): Vertigo in a.m.

Release 10 — day 21, dose 3

2021-11-06

Symptoms: On and off vertigo

Release 11 — 6 months, dose 3

2022-04-16

Symptoms: Retinal tear in right eye, not covid related

Healthcare visit (other): My opthalmologist

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	✓	✓	✓
SD	Muscle fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Retinal tear	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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