4RK-12933-94036

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 222 / VA
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Crohn's disease, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I am due for inflectra infusion (for Crohn's) tomorrow. These symptoms are consistant with that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had Inflectra infusion for Crohn's today. These symptoms are consistant with that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I got Inflectra infusion for Crohn's yesterday. These symptoms are consistant with that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: This is consistant with being due for Remicade (due Friday)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Dose 3 — Moderna
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-03
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: These are due to Crohn's, for which I had my montly infusion today

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: This is consistant with the day after my infusion for Crohn's

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-06
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-08-30	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): I am due for inflectra infusion (for Crohn's) tomorrow. These symptoms are consistant with that

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): I had Inflectra infusion for Crohn's today. These symptoms are consistant with that

2021-03-13

Systemic reaction (other): I got Inflectra infusion for Crohn's yesterday. These symptoms are consistant with that.

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): This is consistant with being due for Remicade (due Friday)

Release 9 — days 1–6 daily, dose 3

2021-09-03

Systemic reaction (other): These are due to Crohn's, for which I had my montly infusion today

2021-09-04

Systemic reaction (other): This is consistant with the day after my infusion for Crohn's

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	Crohn's disease	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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