4KJ-20923-15366

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 974 / OR
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Survey response — day 0, dose 1
MedDRA: Injection site discomfort — Feeling: Good · Site: Pain

Free text: injection site discomfort consistent with prior vaccine experiences

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 1
MedDRA: Eczema, Pre-existing disease — Feeling: Good

Free text: Eczema flare-up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Hyperhidrosis, Nausea, Pain, Sleep disorder — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: body ache, fatigue, chills, nausea onset ~8 hours post-vaccine. Chills, aches, sweating, sleep disruption overnight, symptoms began to subside today, ~28 hours post-vaccine. Still experiencing mild but persistent fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Night sweats, Sleep disorder — Feeling: Fair · Fatigue or tiredness

Free text: sweating and chills overnight again, less severe and less disruptive of sleep than the first night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Night sweats, Pain — Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Free text: still some chills and sweating overnight but less than previous 2 nights... overnight symptoms and fatigue/ache seem to be gradually tapering down at similar rate to the sensation of fatigue after the first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Free text: body wide muscular tension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Muscle discomfort, Musculoskeletal discomfort — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: mild muscle/joint discomfort and noticeable fatigability consistent with the ~week after first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Good

Free text: Beginning ~10 days post vaccine and continuing ~2 weeks I had a flare up of psoriasis symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-03-02	Moderna

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): injection site discomfort consistent with prior vaccine experiences

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Eczema flare-up.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): body ache, fatigue, chills, nausea onset ~8 hours post-vaccine. Chills, aches, sweating, sleep disruption overnight, symptoms began to subside today, ~28 hours post-vaccine. Still experiencing mild but persistent fatigue

2021-03-04

Systemic reaction (other): sweating and chills overnight again, less severe and less disruptive of sleep than the first night

2021-03-05

Systemic reaction (other): still some chills and sweating overnight but less than previous 2 nights... overnight symptoms and fatigue/ache seem to be gradually tapering down at similar rate to the sensation of fatigue after the first dose.

2021-03-06

Systemic reaction (other): body wide muscular tension

2021-03-08

Systemic reaction (other): mild muscle/joint discomfort and noticeable fatigability consistent with the ~week after first dose.

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Beginning ~10 days post vaccine and continuing ~2 weeks I had a flare up of psoriasis symptoms.

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	Eczema	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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