4M7-71249-65513

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 2 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 061 / CT
Registered: 2021-04-07

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain — Feeling: Good · Site: Pain · Abdominal pain

Free text: I had jabbing abdominal pain last night. However Ive had a previous episode long time prior to this shot too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-14
Survey response — day 7, dose 1
MedDRA: Arthralgia, Pain — Feeling: Fair · Site: Pain, Itching · Joint pains

Free text: Shoulder hurts with dull pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-06
Health check-in — days 1–6 daily, dose 2
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

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-19
Survey response — day 14, dose 2
MedDRA: Myalgia, Neuralgia, Pain in extremity, Physiotherapy — 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: Symptoms: Arm and hand pain on the side of the shot. I am experiencing forearm/armpit muscle aches and jabbing nerve pain in the palm of my hand. Unclear if related or not, this is a first time I have ever had this issue. · Healthcare visit (other): I have gone to Physical Therapist to identify if there is a structual muscle or some other source for the cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Ear infection, Sinusitis, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I keep getting recurring sinus infections June to October and once developed an infected ear. I have never experienced repeated back to back cycles of sinus infections before. Plus there resulting ear infection caused temporary Tinnitus on one side.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-04
Call 1 — Left Voicemail
2021-11-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna

Call center

2 call center cases

2 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): I had jabbing abdominal pain last night. However Ive had a previous episode long time prior to this shot too.

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Shoulder hurts with dull pain.

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Arm and hand pain on the side of the shot. I am experiencing forearm/armpit muscle aches and jabbing nerve pain in the palm of my hand. Unclear if related or not, this is a first time I have ever had this issue.

Healthcare visit (other): I have gone to Physical Therapist to identify if there is a structual muscle or some other source for the cause.

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: I keep getting recurring sinus infections June to October and once developed an infected ear. I have never experienced repeated back to back cycles of sinus infections before. Plus there resulting ear infection caused temporary Tinnitus on one side. cut off by CDC

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	Physiotherapy	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Pain	✓	✓	✓

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