4M8-14525-34850

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 782 / TX
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Doing very good so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Tenderness — Feeling: Good · Site: Pain

Free text: None, just tender arm at the shot site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: No increase in soreness at the injection site, it feels better each day, but still slightly noticeable. No worries and no need to call.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Back to normal!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Feeling great.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: All is normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Survey response — day 0, dose 2
MedDRA: Fatigue, Mobility decreased, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: My arm is VERY sore and I can hardly lift it. Other than that, no other problems so far. A little tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The vaccine yesterday morning took a toll on me after I went to bed last night. Chills, body aches, slight headache, and arm pain (where I got the shot) to the point where I couldnt lift my arm. I stayed home from work and felt bad most of the day today. However, I took two tablets of Tylenol twice today, and I am feeling better. I did not, surprisingly, have a fever during my adverse symptoms. I feel better and expect to be back to normal tomorrow, as they are reporting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Feeling much better the past two days. No side effects anymore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Felt fine today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Doing well today, no issues!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
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
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
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
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): Doing very good so far.

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): None, just tender arm at the shot site.

2021-03-25

Systemic reaction (other): No increase in soreness at the injection site, it feels better each day, but still slightly noticeable. No worries and no need to call.

2021-03-26

Systemic reaction (other): Back to normal!!!

2021-03-28

Systemic reaction (other): Feeling great.

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): All is normal.

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): My arm is VERY sore and I can hardly lift it. Other than that, no other problems so far. A little tired.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): The vaccine yesterday morning took a toll on me after I went to bed last night. Chills, body aches, slight headache, and arm pain (where I got the shot) to the point where I couldnt lift my arm. I stayed home from work and felt bad most of the day today. However, I took two tablets of Tylenol twice today, and I am feeling better. I did not, surprisingly, have a fever during my adverse symptoms. I feel better and expect to be back to normal tomorrow, as they are reporting.

2021-04-23

Systemic reaction (other): Feeling much better the past two days. No side effects anymore.

2021-04-24

Systemic reaction (other): Felt fine today.

2021-04-25

Systemic reaction (other): Doing well today, no issues!

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): No issues.

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
SRO	Adverse reaction	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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