42G-27820-43876

3 vaccinations 13 coded responses 41 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 100 / NY
Registered: 2021-05-07

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

2021-05-07
Registered in v-safe
2021-05-07
Dose 1 — Moderna
2021-05-07
Survey response — day 0, dose 1
MedDRA: Ageusia, Sensitive skin — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of taste, skin sensitive to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Paraesthesia, Tremor — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tingly body, brain feels slower than normal, weakness/trembly on standing/lifting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue has increased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Dose 2 — Moderna
2021-06-04
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Sensitive skin — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Humming/fizzing all over the body, skin extra sensitive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Sensitive skin — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Humming/fizzing all over body, skin sensitivity all over.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Sensitive skin — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Humming/fizzing, skin sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-06-11
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — day 28, dose 2
MedDRA: Confusional state, Fatigue, Memory impairment — Feeling: Good · Be unable to work or attend school

Free text: Fatigue, confusion, forgetfulness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, painful erections, coughing/phlegm, aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-06
Dose 3 — Moderna
2021-12-06
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Body humming/fizzing/tingling, and some odd foot pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-13
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-20
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — day 21, dose 3
MedDRA: Decreased appetite, Dysgeusia, Erectile dysfunction, Increased appetite, Painful erection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Erectile disfunction, painful erections, odd tastes, loss of appetite, increased appetite, on various days.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-17
Survey response — day 42, dose 3
MedDRA: Cough, Fatigue, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, congestion, coughing, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-06
Survey response — 6 months, dose 3
MedDRA: Cognitive disorder, Erectile dysfunction, Fatigue, Muscular weakness, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Positive Covid test, crushing fatigue, severe cognitive issues, erectile dysfunction, and muscle weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-07	Moderna
2	2021-06-04	Moderna
3	2021-12-06	Moderna	No

Free text

Release 8 — day 0, dose 1

2021-05-07

Systemic reaction (other): Loss of taste, skin sensitive to touch

Release 8 — days 1–6 daily, dose 1

2021-05-08

Systemic reaction (other): Tingly body, brain feels slower than normal, weakness/trembly on standing/lifting.

Release 8 — day 21, dose 1

2021-05-28

Symptoms: Fatigue has increased.

Release 8 — day 0, dose 2

2021-06-04

Systemic reaction (other): No

Release 8 — days 1–6 daily, dose 2

2021-06-05

Systemic reaction (other): Humming/fizzing all over the body, skin extra sensitive.

2021-06-06

Systemic reaction (other): Humming/fizzing all over body, skin sensitivity all over.

2021-06-07

Systemic reaction (other): Humming/fizzing, skin sensitivity

Release 9 — day 28, dose 2

2021-07-02

Symptoms: Fatigue, confusion, forgetfulness.

Release 9 — day 35, dose 2

2021-07-09

Symptoms: Fatigue, painful erections, coughing/phlegm, aches.

Release 10 — days 1–6 daily, dose 3

2021-12-07

Systemic reaction (other): Body humming/fizzing/tingling, and some odd foot pain.

Release 10 — day 21, dose 3

2021-12-29

Symptoms: Erectile disfunction, painful erections, odd tastes, loss of appetite, increased appetite, on various days.

Release 10 — day 42, dose 3

2022-01-17

Symptoms: Fever, congestion, coughing, fatigue.

Release 11 — 6 months, dose 3

2022-06-06

Symptoms: Positive Covid test, crushing fatigue, severe cognitive issues, erectile dysfunction, and muscle weakness.

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	Cognitive disorder	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Erectile dysfunction	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Increased appetite	·	·	✓
SD	Memory impairment	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Pain	✓	✓	✓
SD	Painful erection	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Tremor	✓	✓	✓

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