4CT-35989-63057

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 4 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 210 / MD
Registered: 2021-04-10

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Moderna
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Feels like I'm fighting at times to remain awake/alert.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blood pressure was high yesterday shortly after sending report. 194/116. Right now is 174/93. Dr. had me increase BP med when I called him yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blood pressure continues to be elevated but not certain if this is related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-17
Survey response — day 7, dose 1
MedDRA: Hypertension — Feeling: Good · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Blood pressure continues to be higher than before vaccine, even with increased medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 21, dose 1
MedDRA: Arthralgia, Neck pain, Pain in jaw, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in jaw, neck, shoulder, and elbow on same side as vaccine. Not sure if any are related to vaccine. Could just be dental implant, sleep position, former frozen shoulder, and tendonitis issues. Time will tell. · Healthcare visit (other): Left message with dentist Friday. Expect to schedule in-person appt. when office reopens Tuesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — day 28, dose 1
MedDRA: Pruritus, Rash erythematous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Three Itchy blotches on left upper leg. Itchiness various places from head to foot. Slight sunburn-like sensation also various places head to foot, especially forehead and neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Dose 2 — Moderna
2021-05-15
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Elevated blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Moderna
2	2021-05-15	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Feels like I'm fighting at times to remain awake/alert.

2021-04-12

Systemic reaction (other): Blood pressure was high yesterday shortly after sending report. 194/116. Right now is 174/93. Dr. had me increase BP med when I called him yesterday.

2021-04-14

Systemic reaction (other): Blood pressure continues to be elevated but not certain if this is related to vaccine.

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Blood pressure continues to be higher than before vaccine, even with increased medication.

Release 8 — day 21, dose 1

2021-05-01

Symptoms: Pain in jaw, neck, shoulder, and elbow on same side as vaccine. Not sure if any are related to vaccine. Could just be dental implant, sleep position, former frozen shoulder, and tendonitis issues. Time will tell.

Healthcare visit (other): Left message with dentist Friday. Expect to schedule in-person appt. when office reopens Tuesday.

Release 8 — day 28, dose 1

2021-05-08

Symptoms: Three Itchy blotches on left upper leg. Itchiness various places from head to foot. Slight sunburn-like sensation also various places head to foot, especially forehead and neck.

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Elevated blood pressure

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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