4QT-31918-12247

5 vaccinations 16 coded responses 54 check-ins 14 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 913 / CA
Registered: 2021-02-10

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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Survey response — day 0, dose 1
MedDRA: Mental disorder, Pain in extremity — Feeling: Good

Free text: Stimulated, mentally, throughout the day. Began feeling arm soreness by evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Headache, Muscle or body aches

Free text: Neck muscles (almost like stiff neck).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Good · Headache

Free text: No more tense neck muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Exercise tired, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Good · Muscle or body aches

Free text: Unrelated lower back muscle tightness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Survey response — day 14, dose 1
MedDRA: Muscle tightness — Feeling: Good

Free text: Lower back muscle tightness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Occasional light headed sensation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Itching

Free text: Full workout day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 2
MedDRA: Gait disturbance, Pain in extremity — Feeling: Good

Free text: Left leg - outside, high ankle ache and left side buttocks/outside quad (band?) ache increases with walking. Does not impact my bicycle workout. Maybe athletic?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Very early workout today - prior to receiving the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Exercise v. Working on electrical at home

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 35, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Dose 4 — Moderna
2022-04-15
Survey response — day 7, dose 4
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Short sleep night

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-03
Survey response — 6 months, dose 4
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: July exposure

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Dose 5 — Moderna
2022-10-14
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-06
Survey response — 3 months, dose 5
MedDRA: Respiratory tract congestion — Feeling: Good

MedDRA releases: 2024-11
2023-04-07
Survey response — 6 months, dose 5
MedDRA: Respiratory tract congestion — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna
3	2021-10-28	Moderna	No
4	2022-04-04	Moderna	No
5	2022-10-07	Moderna	No

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): Stimulated, mentally, throughout the day. Began feeling arm soreness by evening

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Neck muscles (almost like stiff neck).

2021-02-12

Systemic reaction (other): No more tense neck muscles

2021-02-15

Systemic reaction (other): Exercise tired, fatigue.

2021-02-16

Systemic reaction (other): Unrelated lower back muscle tightness.

Release 4 — day 14, dose 1

2021-02-24

Symptoms: Lower back muscle tightness.

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): Occasional light headed sensation.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Full workout day

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Left leg - outside, high ankle ache and left side buttocks/outside quad (band?) ache increases with walking. Does not impact my bicycle workout. Maybe athletic?

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): Very early workout today - prior to receiving the vaccine

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Exercise v. Working on electrical at home

Release 10 — day 35, dose 3

2021-12-02

Symptoms: Tired

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): Short sleep night

Release 12 — 6 months, dose 4

2022-10-03

Symptoms: July exposure

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	Fatigue	·	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Mental disorder	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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