4B8-17427-61576

3 vaccinations 13 coded responses 18 check-ins 13 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 921 / CA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Myalgia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Very bad headaches and muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: You have shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Hypertension — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath and Hypertension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 7, dose 1
MedDRA: Dyspnoea, Hypertension — Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath & Hypertension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 14, dose 1
MedDRA: Depressed mood, Depression, Dyspnoea, Headache, Hypertension, Pain, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches, body aches, hypertension, shortness of breath, depressed, post nasal drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 21, dose 1
MedDRA: Cough, Dyspnoea, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad cough and shortness of breath and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 28, dose 1
MedDRA: Myalgia, Neck pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Dose 2 — Moderna
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Dose 3 — Moderna
Co-administered: Do not remember
2021-02-25
Health check-in — day 7, dose 2
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-03-18
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shortness of breath and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 35, dose 2
MedDRA: Cough, Musculoskeletal stiffness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Neck and shoulder stiffness, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Heart rate irregular — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Trouble with my breathing and heart beats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Musculoskeletal stiffness, Palpitations — Feeling: Poor · Be unable to work

Free text: Stiffness of back neck and shoulders with shortness or breath and heartbeat racing during the time I ha e shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Ageusia, Dyspnoea, Headache, Heart rate increased, Heart rate irregular — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath, fast or out of breath heart beats, headaches, no taste

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
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)
2021-08-24
Call 1 — Left Voicemail
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-18	Moderna
3	2021-02-24	Moderna	Do not remember

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Very bad headaches and muscle pain

2021-01-24

Systemic reaction (other): You have shortness of breath

2021-01-25

Systemic reaction (other): Shortness of breath and Hypertension

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Shortness of breath & Hypertension

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Headaches, body aches, hypertension, shortness of breath, depressed, post nasal drainage

Release 3 — day 21, dose 1

2021-02-09

Symptoms: Bad cough and shortness of breath and headaches

Release 4 — day 28, dose 1

2021-02-16

Symptoms: Muscle and neck pain

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Shortness of breath and headaches

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Neck and shoulder stiffness, cough

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Trouble with my breathing and heart beats.

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Stiffness of back neck and shoulders with shortness or breath and heartbeat racing during the time I ha e shortness of breath.

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Shortness of breath, fast or out of breath heart beats, headaches, no taste

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Shortness of breath

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	Ageusia	✓	·	✓
SD	Cough	✓	✓	✓
SD	Depressed mood	✓	·	✓
SD	Depression	✓	✓	○
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	·	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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