4SW-93789-87382

5 vaccinations 5 coded responses 45 check-ins 4 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 958 / CA
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 28, dose 2
MedDRA: Arthralgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Pain in joints, especially in hands and fingers. Some kind of arthritis? Never had this kind of pain before. I'll ask my immunologist next week. · Healthcare visit (other): Made video appt with my immunologist next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-25
Health check-in — day 0, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

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, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Poor · Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Dizziness, Dysphonia, Pollakiuria, Tinnitus, Urine abnormality — Feeling: Fair

Free text: Gravelly voice, Copious dilute urine, Tinnitus, Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-26
Survey response — day 21, dose 4
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain and aches over most of body.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 28, dose 4
Feeling: Fair

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

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

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-06
Survey response — 6 months, dose 4
MedDRA: Colonoscopy abnormal, Constipation, Diarrhoea, Irritable bowel syndrome, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I've been diagnosed with IBS-C. Lots of diarrhea alternating with constipation, post colonoscopy in June. Probably nothing to do with Covid-19 -- my biweekly covid home antigen tests are always negative.

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-06
Call 2 — Left Voicemail
2022-10-06
Call 1 — Left Voicemail
2022-11-15
Dose 5 — Pfizer-BioNTech
2023-04-04
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in
2023-05-16
Survey response — 6 months, dose 5
MedDRA: Cognitive disorder — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-10-25	Moderna	No
4	2022-04-04	Pfizer-BioNTech	No
5	2022-11-15	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Pain in joints, especially in hands and fingers. Some kind of arthritis? Never had this kind of pain before. I'll ask my immunologist next week.

Healthcare visit (other): Made video appt with my immunologist next week.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Gravelly voice, Copious dilute urine, Tinnitus, Dizziness

Release 11 — day 21, dose 4

2022-04-26

Symptoms: Pain and aches over most of body.

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: I've been diagnosed with IBS-C. Lots of diarrhea alternating with constipation, post colonoscopy in June. Probably nothing to do with Covid-19 -- my biweekly covid home antigen tests are always negative.

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cognitive disorder	·	·	✓
SD	Colonoscopy abnormal	·	·	✓
SD	Constipation	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysphonia	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Pain	·	·	✓
SD	Pollakiuria	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tinnitus	·	·	✓
SD	Urine abnormality	·	·	✓

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