46C-29797-29398

4 vaccinations 9 coded responses 18 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 329 / FL
Registered: 2021-02-05

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

2021-01-02
Dose 1 — Moderna
2021-01-31
Dose 2 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
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
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Survey response — day 7, dose 2
MedDRA: Arthritis, Polymyositis, Pre-existing disease, Rotator cuff syndrome — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: These symptoms are normal for me. I have (b)(6) and Arthritis and Rotator Cuff tears.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Asthenia, Diarrhoea, Office visit, Pleuritic pain, Pneumonia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Had pneumonia with left sided pleuritic pain. Unknown etiology. Thought to be viral. Received outpatient IV antibiotics for five days, then began oral antibiotics, but had to stop due to diarrhea. Still lack energy . · Healthcare visit (other): Saw my personal physician, had CXR, started on outpatient IV antibiotics then oral antibiotics.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 2 — Left Voicemail
2021-08-20
Dose 3 — Pfizer-BioNTech
2021-11-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-20
Survey response — 6 months, dose 3
MedDRA: Headache, Pain, Pyrexia, SARS-CoV-2 test positive, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever 103.5, head and body aches, Positive Home COVID Test, responded to Tylenol rest and fluids over 5 days

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Survey response — 12 months, dose 3
MedDRA: Back pain, Headache, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Low Back Pain Sinus Congestion Headache

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Dose 4 — Pfizer-BioNTech
2022-10-22
Survey response — day 28, dose 4
MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal pain and diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — day 35, dose 4
MedDRA: Abdominal pain, Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal pain, diarrhea, mild nausea

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — day 42, dose 4
MedDRA: Abdominal pain, Feeling cold, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea and abdominal pain, feeling cold

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Survey response — 3 months, dose 4
MedDRA: Abdominal pain upper, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right upper quadrant pain and headache

MedDRA releases: 2024-11 · check-in free text available
2023-03-23
Survey response — 6 months, dose 4
MedDRA: Chills, Diarrhoea, Headache, Lethargy, Medical counselling, Pain, Tremor — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-23
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-24
Call 1 — Left Voicemail
2023-03-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-31	Moderna
3	2021-08-20	Pfizer-BioNTech	No
4	2022-09-22	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 7, dose 2

2021-02-07

Systemic reaction (other): These symptoms are normal for me. I have (b)(6) and Arthritis and Rotator Cuff tears.

redacted (b)(6)

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: Had pneumonia with left sided pleuritic pain. Unknown etiology. Thought to be viral. Received outpatient IV antibiotics for five days, then began oral antibiotics, but had to stop due to diarrhea. Still lack energy .

Healthcare visit (other): Saw my personal physician, had CXR, started on outpatient IV antibiotics then oral antibiotics.

Release 11 — 6 months, dose 3

2022-02-20

Symptoms: Fever 103.5, head and body aches, Positive Home COVID Test, responded to Tylenol rest and fluids over 5 days

Release 12 — 12 months, dose 3

2022-08-20

Symptoms: Low Back Pain Sinus Congestion Headache

Release 12 — day 28, dose 4

2022-10-22

Symptoms: Abdominal pain and diarrhea.

Release 12 — day 35, dose 4

2022-10-27

Symptoms: Abdominal pain, diarrhea, mild nausea

Release 12 — day 42, dose 4

2022-11-03

Symptoms: Nausea and abdominal pain, feeling cold

Release 12 — 3 months, dose 4

2022-12-22

Symptoms: Right upper quadrant pain and headache

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	✓	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthenia	✓	·	✓
SD	Back pain	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Feeling cold	·	·	✓
SD	Headache	·	·	✓
SD	Lethargy	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pleuritic pain	✓	·	✓
SD	Pneumonia	✓	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Self-medication	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Tremor	·	·	✓
SRO	Arthritis	✓	✓	○
SRO	Polymyositis	✓	✓	○
SRO	Pre-existing disease	·	·	✓
SRO	Rotator cuff syndrome	✓	✓	○

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