567-67322-72327

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-04-03

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

2021-04-01
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dyspnoea, Feeling abnormal, Muscular weakness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea

Free text: Difficulty breathing, foggy when thinking, weakness body wide but mostly in legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Breathing is still a bit more difficult than usual.

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

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: Very slight brain fog and breathing problems still hanging on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Some problems with breathing, enough to be of concern.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Hyperhidrosis, Poor quality sleep — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Breathing has been more of a problem than usual. Waking three times sweating has been a concern. No temperature when that was checked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness, Respiratory disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Still slight breathing problems and weakness in both legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Brain Fog has been a problem all along but is lessening today.

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 · None

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
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: Muscular weakness, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Weakness in both legs and nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain — Feeling: Good

Free text: Since the first injection my right shoulder has been sore. I feel the pain when I move my right arm as when I putt on a pullover shirt.I usually think itll go away but not this. Given the time frame and location its from the shot I think

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Call 1 — Left Voicemail
2022-04-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-28	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Difficulty breathing, foggy when thinking, weakness body wide but mostly in legs.

2021-04-04

Systemic reaction (other): Breathing is still a bit more difficult than usual.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Very slight brain fog and breathing problems still hanging on.

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Some problems with breathing, enough to be of concern.

2021-05-01

Systemic reaction (other): Breathing has been more of a problem than usual. Waking three times sweating has been a concern. No temperature when that was checked.

2021-05-02

Systemic reaction (other): Still slight breathing problems and weakness in both legs.

2021-05-03

Systemic reaction (other): Brain Fog has been a problem all along but is lessening today.

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Weakness in both legs and nausea.

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Since the first injection my right shoulder has been sore. I feel the pain when I move my right arm as when I putt on a pullover shirt.I usually think itll go away but not this. Given the time frame and location its from the shot I think

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	Arthralgia	✓	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Respiratory disorder	✓	✓	✓

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