4LQ-14050-02087

5 vaccinations 11 coded responses 60 check-ins 11 free-text entries 2 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 913 / CA
Registered: 2021-03-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

ZDY-17045-28575 Child or adolescent in my care · Male · 2021-11-11

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-23
Dose 1 — Moderna
2021-03-24
Registered in v-safe
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 21, dose 1
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Sore throat, runny nose, headache. · Healthcare visit (other): Negative COVID test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Nodule — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severely painful knot in my back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 28, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair

Free text: Tired and sore despite 8 hours of sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — day 28, dose 3
MedDRA: Sciatica — Feeling: Good · 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: Sciatica

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — day 28, 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)
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-29
Call 1 — Left Voicemail
2021-12-04
Survey response — day 42, dose 3
MedDRA: Heart rate increased — Feeling: Good

Free text: Higher than usual heart rate while running a marathon today. Otherwise I feel great!

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Moderna
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Survey response — day 21, dose 4
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: I caught a cold. Rapid antigen negative last 2 days. PCR tomorrow. Fingers crossed. Feels like a man cold.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — day 28, dose 4
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad cold, no fever, no positive Covid antigen or PCR test.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Dose 5 — Moderna
Co-administered: Flu
2022-09-12
Survey response — day 0, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Swelling · Fever

Free text: Very mild sore throat, might acid reflux

MedDRA releases: 2024-11 · check-in free text available
2022-09-13
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-19
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-26
Survey response — day 14, dose 5
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Poor

Free text: Sore throat, tired.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Survey response — 3 months, dose 5
MedDRA: Influenza — Feeling: Good · Be unable to do your normal daily activities

Free text: I had the flu

MedDRA releases: 2024-11 · check-in free text available
2023-03-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna
3	2021-10-23	Moderna	No
4	2022-04-12	Moderna	No
5	2022-09-12	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Sore throat, runny nose, headache.

Healthcare visit (other): Negative COVID test

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Severely painful knot in my back

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Tired and sore despite 8 hours of sleep

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Sciatica

Release 10 — day 42, dose 3

2021-12-04

Symptoms: Higher than usual heart rate while running a marathon today. Otherwise I feel great!

Release 11 — day 21, dose 4

2022-05-03

Symptoms: I caught a cold. Rapid antigen negative last 2 days. PCR tomorrow. Fingers crossed. Feels like a man cold.

Release 11 — day 28, dose 4

2022-05-10

Symptoms: Bad cold, no fever, no positive Covid antigen or PCR test.

Release 12 — day 0, dose 5

2022-09-12

Systemic reaction (other): Very mild sore throat, might acid reflux

Release 12 — days 1–6 daily, dose 5

2022-09-13

Systemic reaction (other): Sore throat

Release 12 — day 14, dose 5

2022-09-26

Symptoms: Sore throat, tired.

Release 12 — 3 months, dose 5

2022-12-12

Symptoms: I had the flu

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	SARS-CoV-2 test negative	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sciatica	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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