4L2-29038-04462

4 vaccinations 10 coded responses 34 check-ins 10 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 277 / NC
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Survey response — day 0, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Fatigue or tiredness

Free text: Bilateral leg cramps and cramping in R.Hand (opposite of injection site)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

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

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Whole vaccinated arm hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Fatigue, Office visit, Oxygen consumption decreased, Oxygen saturation decreased — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increased fatigue. Low blood O2. · Healthcare visit (other): In person visit with my PCP scheduled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Feeling abnormal, Hypoxia, Muscle fatigue, Unevaluable event — Feeling: Poor · Be unable to work, 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: Symptoms: More effects of hypoxia,both awake and sleeping: muscle fatigue, brain fog, etc. · Healthcare visit (other): Lab visits.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Call 1 — Left Voicemail
2021-06-22
Call 2 — Left Voicemail
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Blood creatine phosphokinase increased — Feeling: Fair

Free text: Elevated CK level 500 to 1100. Went of statin and started evolocumab.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-06
Dose 3 — Moderna
Co-administered: Flu
2021-10-27
Survey response — day 21, dose 3
MedDRA: Fatigue, Myalgia, Pre-existing disease, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Post vaccine: occasional low fever, increased fatigue, increased myalgia. Getting better after 2 weeks. I think I've had long COVID since 3/20.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-10
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Survey response — 3 months, dose 3
MedDRA: Asthenia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsening fatigue, myalgia, weakness

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-06
Call successful
Does not wish to fill out VAERS report
2022-01-07
Call successful
Does not wish to fill out VAERS report
2022-01-07
Call successful
Does not wish to fill out VAERS report
2022-03-17
Dose 4 — Moderna
2022-04-08
Survey response — 6 months, dose 3
MedDRA: Hip arthroplasty — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: R. Hip replacment surgery. Possible prostate cancer recurrence.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-04-21
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-04-30
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-17
Survey response — 6 months, dose 4
MedDRA: Radiotherapy, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Effects of radiotherapy and ADT for PC.

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-19
Call 1 — Left Voicemail
2022-09-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-17
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-10-06	Moderna	Flu
4	2022-03-17	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): Bilateral leg cramps and cramping in R.Hand (opposite of injection site)

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): Light headed

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Whole vaccinated arm hurts.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Increased fatigue. Low blood O2.

Healthcare visit (other): In person visit with my PCP scheduled

Release 7 — day 42, dose 2

2021-04-06

Symptoms: More effects of hypoxia,both awake and sleeping: muscle fatigue, brain fog, etc.

Healthcare visit (other): Lab visits.

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Elevated CK level 500 to 1100. Went of statin and started evolocumab.

Release 10 — day 21, dose 3

2021-10-27

Symptoms: Post vaccine: occasional low fever, increased fatigue, increased myalgia. Getting better after 2 weeks. I think I've had long COVID since 3/20.

Release 10 — 3 months, dose 3

2022-01-06

Symptoms: Worsening fatigue, myalgia, weakness

Release 11 — 6 months, dose 3

2022-04-08

Symptoms: R. Hip replacment surgery. Possible prostate cancer recurrence.

Release 12 — 6 months, dose 4

2022-09-17

Symptoms: Effects of radiotherapy and ADT for PC.

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Blood creatine phosphokinase increased	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hip arthroplasty	·	·	✓
SD	Hypoxia	✓	✓	✓
SD	Muscle fatigue	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oxygen consumption decreased	✓	✓	○
SD	Oxygen saturation decreased	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Radiotherapy	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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