4C3-24117-03809

5 vaccinations 9 coded responses 28 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 020 / MA
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Survey response — day 0, dose 1
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: current temp 99.1F, slept for 3 hours and sweat it out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased — Feeling: Fair · Chills, Diarrhea

Free text: 96.9F temp several times checking today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Hypersomnia, Neck pain — Feeling: Fair · Joint pains, Muscle or body aches

Free text: slept abnormally long last night, 9.5 vs 4.5 hours, hurts my back / neck and joints after this long of immobility. takes most of the day to loosen up before I can try to be active

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Insomnia, Myalgia, Pain, Pain in extremity — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Couldn't sleep last night, 1.4 hours REM sleep total. Notable pain in right shoulder down to elbow on bottom side of arm as well as to the wrist when I twist my neck more than 30Â° from center. Muscle pain on back spinal area but also sharp muscle pain over right kidney and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Myalgia, Neck pain, Neuralgia — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Back and neck muscles like yesterday and the joints on my right arm or hurting but it is more like nerve pain from my shoulder or neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-28
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Insomnia — Feeling: Fair · Site: Pain · Fever · Headache · Be unable to do your normal daily activities

Free text: Headache started yesterday at 6:00 p.m. and kept me awake all night, could not sleep, ended up sleeping 3 hours until lunch time today. No headache feel much better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Good · Site: Pain · Fever · Chills

Free text: still difficult to focus , mentally. better than yesterday, suspect tomorrow all will be fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Generally tired, but I am also a thyroid cancer patient and with no thyroid replacement hormone just doesn't cut it my body has never been the same and the tiredness I have now seems to be back to normal not as bad as after the injection and immune response, it seems to have normal up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Pain in extremity, Vasodilatation — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Numbness pain right arm. Hand veins bulge when elbow/ forearm are below heart. Left arm no problem. Right hand circulation is fine w/ hand above head..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Dose 3 — Moderna
Co-administered: Flu
2022-05-19
Dose 4 — Moderna
2022-09-17
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-01
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna
3	2021-12-22	Moderna	Flu
4	2022-05-19	Moderna	No
5	2022-09-17	Pfizer-BioNTech	Flu

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): current temp 99.1F, slept for 3 hours and sweat it out

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): 96.9F temp several times checking today

2021-04-04

Systemic reaction (other): slept abnormally long last night, 9.5 vs 4.5 hours, hurts my back / neck and joints after this long of immobility. takes most of the day to loosen up before I can try to be active

2021-04-05

Systemic reaction (other): Couldn't sleep last night, 1.4 hours REM sleep total. Notable pain in right shoulder down to elbow on bottom side of arm as well as to the wrist when I twist my neck more than 30Â° from center. Muscle pain on back spinal area but also sharp muscle pain over right kidney and back

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Back and neck muscles like yesterday and the joints on my right arm or hurting but it is more like nerve pain from my shoulder or neck

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Headache started yesterday at 6:00 p.m. and kept me awake all night, could not sleep, ended up sleeping 3 hours until lunch time today. No headache feel much better

2021-05-01

Systemic reaction (other): still difficult to focus , mentally. better than yesterday, suspect tomorrow all will be fine

2021-05-02

Systemic reaction (other): Generally tired, but I am also a thyroid cancer patient and with no thyroid replacement hormone just doesn't cut it my body has never been the same and the tiredness I have now seems to be back to normal not as bad as after the injection and immune response, it seems to have normal up

2021-05-03

Systemic reaction (other): Numbness pain right arm. Hand veins bulge when elbow/ forearm are below heart. Left arm no problem. Right hand circulation is fine w/ hand above head..

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
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Vasodilatation	✓	✓	✓

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