4ZR-31265-14693

4 vaccinations 10 coded responses 47 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 493 / MI
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-26
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains

Free text: Joint pain but I already had arteritis, it's no worse and in the same places.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Poor quality sleep — Feeling: Good · Fatigue or tiredness

Free text: Not sure from the shot, been restless sleeper

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Not sure if my allergies are part of this. But I am having trouble sleeping as well, lay away 2-3 hours and still get up at 5:30 am and start my day. Have tried to nap but can't.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Injection site reaction — Feeling: Good

Free text: Shoot area has gotten a bit sensation again. But after 2 days it faded away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Circadian rhythm sleep disorder, Fatigue, Insomnia, Somnolence — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Tired often, terrible sleeping nights, nap during the day. I wonder if it's droppers or anxiety? Hear loss of people are having similar symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Anxiety, Depression — Feeling: Fair · Be unable to do your normal daily activities

Free text: Depression and anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Survey response — 12 months, dose 2
MedDRA: Headache, Nasal congestion, Pre-existing disease, Rhinorrhoea — Feeling: Good

Free text: Seasonal allergies: stuffy or runny nose, headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Dose 3 — Moderna
2022-06-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-05
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-07-05
Survey response — day 35, dose 3
MedDRA: Eye irritation, Headache, Lacrimation increased, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, pretty big. Eyes water and burn, body hurts.

MedDRA releases: 2024-11 · check-in free text available
2022-07-10
Survey response — day 42, dose 3
MedDRA: Dysgeusia, Headache, Pain, Pyrexia, Sinus disorder, Vertigo — Feeling: Poor · 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: Headache, body ache, sinus issues, fever, tired, vertigo, wird sense of tast, either things taste odd or no taste...

MedDRA releases: 2024-11 · check-in free text available
2022-07-10
Report sent to call center — day 42, dose 3
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)
2022-07-11
Call 1 — Left Voicemail
2022-07-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-23
Dose 4 — Moderna
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-10-30
Health check-in — day 7, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-11-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-20
Survey response — day 28, dose 4
MedDRA: Back pain, Headache, Musculoskeletal stiffness, Sinus congestion — Feeling: Fair

Free text: Headache, stiff neck, backache, sinus congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-11-27
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-04
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-22
Health check-in — 3 months, dose 4
Feeling: Poor

Adult check-in
2023-04-25
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-28	Moderna
3	2022-05-29	Moderna	No
4	2022-10-23	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Joint pain but I already had arteritis, it's no worse and in the same places.

2021-03-30

Systemic reaction (other): Not sure from the shot, been restless sleeper

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Not sure if my allergies are part of this. But I am having trouble sleeping as well, lay away 2-3 hours and still get up at 5:30 am and start my day. Have tried to nap but can't.

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Shoot area has gotten a bit sensation again. But after 2 days it faded away.

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Tired often, terrible sleeping nights, nap during the day. I wonder if it's droppers or anxiety? Hear loss of people are having similar symptoms.

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Depression and anxiety

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: Seasonal allergies: stuffy or runny nose, headache

Release 12 — day 35, dose 3

2022-07-05

Symptoms: Headache, pretty big. Eyes water and burn, body hurts.

Release 12 — day 42, dose 3

2022-07-10

Symptoms: Headache, body ache, sinus issues, fever, tired, vertigo, wird sense of tast, either things taste odd or no taste...

Release 12 — day 28, dose 4

2022-11-20

Symptoms: Headache, stiff neck, backache, sinus congestion.

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	Anxiety	✓	✓	✓
SD	Back pain	·	·	✓
SD	Circadian rhythm sleep disorder	○	✓	○
SD	Depression	✓	✓	✓
SD	Dysgeusia	·	·	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site reaction	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Somnolence	✓	·	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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