478-32623-05228

4 vaccinations 8 coded responses 33 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 914 / CA
Registered: 2021-04-07

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

2021-04-05
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-19
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Faeces soft — Feeling: Good

Free text: Lower gastrointestinal soft, very long stool. Strong discomfort in lower abdomin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 21, dose 1
MedDRA: Constipation, Gastrointestinal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Constipation. Soft and long stool. G-I related pain in lower-back when walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Dose 2 — Moderna
2021-05-03
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Survey response — day 35, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair

Free text: Extreme fatigue. Difficulty sleeping through the night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work or attend school

Free text: Severe fatigue. Frequent headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-01
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Fatigue, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe Hip Pain Generalized Fatigue · Healthcare visit (other): Visits with PCP and Orthopedic Specialist

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

1 call case(s)
2021-11-03
Call 2 — Left Voicemail
2021-11-03
Call 2 — Left Voicemail
2021-11-19
Dose 3 — Moderna
2022-04-23
Dose 4 — Moderna
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-30
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-14
Survey response — day 21, dose 4
MedDRA: Nerve compression, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in right leg, diagnosed as the symptoms of a pinched nerve (L-5)

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Survey response — 6 months, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore spot in throat

MedDRA releases: 2024-11 · check-in free text available
2023-04-23
Survey response — 12 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-23
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-24
Call 1 — Could Not Reach Participant
2023-04-24
Call 1 — Could Not Reach Participant
2023-04-24
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna
3	2021-11-19	Moderna	No
4	2022-04-23	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Lower gastrointestinal soft, very long stool. Strong discomfort in lower abdomin.

Release 8 — day 21, dose 1

2021-04-26

Symptoms: Constipation. Soft and long stool. G-I related pain in lower-back when walking.

Release 8 — day 35, dose 2

2021-06-07

Symptoms: Extreme fatigue. Difficulty sleeping through the night.

Release 9 — day 42, dose 2

2021-06-14

Symptoms: Severe fatigue. Frequent headaches

Release 10 — 6 months, dose 2

2021-11-01

Symptoms: Severe Hip Pain Generalized Fatigue

Healthcare visit (other): Visits with PCP and Orthopedic Specialist

Release 11 — day 21, dose 4

2022-05-14

Symptoms: Pain in right leg, diagnosed as the symptoms of a pinched nerve (L-5)

Release 12 — 6 months, dose 4

2022-10-22

Symptoms: Sore spot in throat

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Constipation	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Faeces soft	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nerve compression	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓

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