444-24889-10375

5 vaccinations 19 coded responses 54 check-ins 18 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 770 / TX
Registered: 2021-01-29

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

2021-01-28
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Difficult to focus on tasks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Swelling

Free text: Sore throat, cough

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 · Site: Itching · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 42, dose 2
MedDRA: Cough, Nausea, Pyrexia — Feeling: Good

Free text: Last friday nausea Saturday fever dry cough, bausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain, Weight increased — Feeling: Good

Free text: Sore throat, cough, tired, gaining weight while dieting?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-07
Dose 3 — Moderna
2021-12-07
Survey response — 3 months, dose 3
MedDRA: Breath sounds abnormal, Cough, Insomnia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough, unable to sleep, rattling in lungs on derp exhale

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-10
Call 1 — Could Not Reach Participant
2021-12-15
Call 2 — Could Not Reach Participant
2022-03-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-14
Dose 4 — Moderna
2022-04-14
Survey response — day 0, dose 4
MedDRA: Feeling cold — Feeling: Good

Free text: Cold sensations in throat and chest

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches

Adult check-in
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Unable to sleep last night

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Survey response — day 14, dose 4
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — day 21, dose 4
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, nausea

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Survey response — 3 months, dose 4
MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Good

Free text: Sore throat, cough, headache

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-19
Dose 5 — Moderna
Co-administered: Flu
2022-10-20
Survey response — days 1–6 daily, dose 5
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in neck and shoulder

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — days 1–6 daily, dose 5
MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Stiff neck

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — days 1–6 daily, dose 5
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Stiff neck

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — days 1–6 daily, dose 5
MedDRA: Neck pain — Feeling: Good

Free text: Neck ache

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — days 1–6 daily, dose 5
MedDRA: Musculoskeletal stiffness — Feeling: Good

Free text: Stiff neck

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Survey response — days 1–6 daily, dose 5
MedDRA: Musculoskeletal stiffness — Feeling: Good · Headache

Free text: Stiff neck.... worse today

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Survey response — day 7, dose 5
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Stiff neck

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-16
Survey response — day 28, dose 5
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache nausea

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-30
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-20
Survey response — 3 months, dose 5
MedDRA: Ear pain, Oropharyngeal pain, Urticaria — Feeling: Fair

MedDRA releases: 2024-11
2023-04-19
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-24	Moderna
3	2021-09-07	Moderna	No
4	2022-04-14	Moderna	No
5	2022-10-19	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Difficult to focus on tasks

2021-02-28

Systemic reaction (other): Sore throat, cough

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Last friday nausea Saturday fever dry cough, bausea

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Sore throat, cough, tired, gaining weight while dieting?

Release 10 — 3 months, dose 3

2021-12-07

Symptoms: Cough, unable to sleep, rattling in lungs on derp exhale

Release 11 — day 0, dose 4

2022-04-14

Systemic reaction (other): Cold sensations in throat and chest

Release 11 — days 1–6 daily, dose 4

2022-04-16

Systemic reaction (other): Unable to sleep last night

Release 11 — day 14, dose 4

2022-04-28

Symptoms: Sore throat and cough

Release 11 — day 21, dose 4

2022-05-05

Symptoms: Headache, nausea

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: Sore throat, cough, headache

Release 12 — days 1–6 daily, dose 5

2022-10-20

Systemic reaction (other): Pain in neck and shoulder

2022-10-21

Systemic reaction (other): Stiff neck

2022-10-22

Systemic reaction (other): Stiff neck

2022-10-23

Systemic reaction (other): Neck ache

2022-10-24

Systemic reaction (other): Stiff neck

2022-10-25

Systemic reaction (other): Stiff neck.... worse today

Release 12 — day 7, dose 5

2022-10-26

Systemic reaction (other): Stiff neck

Release 12 — day 28, dose 5

2022-11-16

Symptoms: Headache nausea

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	Breath sounds abnormal	·	·	✓
SD	Cough	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Urticaria	·	·	✓
SD	Weight increased	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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