3ZT-21491-03608

3 vaccinations 7 coded responses 22 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 208 / MD
Registered: 2021-03-22

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

2021-03-19
Dose 1 — Moderna
2021-03-22
Registered in v-safe
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Chills, Fatigue, Pain — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: I experienced a lot of shoulder pain where I got injection on Saturday March 20 and Sunday March 21st I also experienced tiredness, body aches, chills, joint pain especially in fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Just wondering why I had symptoms from first as it seems most are not seeing symptoms until second shot. I had Covid in December so Im wondering if that is an issue and wondering if taking the second shot might be more issues for me?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Diarrhea

Free text: I heard from a colleague that her relative like me had COVID-19 and had a reaction like mine after the first Moderna shot also like me hasnt gotten second shot yet. Is there an issue for those who have already recovered from Covid?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Just got it 3 hours ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Its not necessarily since my last check-in it has been all along that I am tired more but it could be my current medications and lunch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Constipation, Fatigue, Insomnia, Pre-existing disease, Somnolence — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: More difficult processing food - constipation Tiredness, sleepiness, difficult to sleep well Might be other issues progressing I had prostate issues, back problem, torn rotator cuff among getting older after Covid abnormalities in heart showed up

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2022-02-18
Dose 3 — Moderna
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Cardiac disorder, Cardiac dysfunction, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have issues with my heart since covid and my vaccinations. I'm not sure the exact term to use but my cardiologist said I have on both sides of my heart something like bad wiring and my heart is not working as well as before. · Healthcare visit (other): It has come up as a result of annual visit with my primary care physician who referred me to a cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2022-02-18	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): I experienced a lot of shoulder pain where I got injection on Saturday March 20 and Sunday March 21st I also experienced tiredness, body aches, chills, joint pain especially in fingers

2021-03-23

Systemic reaction (other): Just wondering why I had symptoms from first as it seems most are not seeing symptoms until second shot. I had Covid in December so Im wondering if that is an issue and wondering if taking the second shot might be more issues for me?

2021-03-24

Systemic reaction (other): I heard from a colleague that her relative like me had COVID-19 and had a reaction like mine after the first Moderna shot also like me hasnt gotten second shot yet. Is there an issue for those who have already recovered from Covid?

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Just got it 3 hours ago

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Its not necessarily since my last check-in it has been all along that I am tired more but it could be my current medications and lunch

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: More difficult processing food - constipation Tiredness, sleepiness, difficult to sleep well Might be other issues progressing I had prostate issues, back problem, torn rotator cuff among getting older after Covid abnormalities in heart showed up

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: I have issues with my heart since covid and my vaccinations. I'm not sure the exact term to use but my cardiologist said I have on both sides of my heart something like bad wiring and my heart is not working as well as before.

Healthcare visit (other): It has come up as a result of annual visit with my primary care physician who referred me to a cardiologist

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	Cardiac disorder	·	·	✓
SD	Cardiac dysfunction	·	·	✓
SD	Constipation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Somnolence	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	COVID-19	○	○	○
SRO	Fatigue	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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