5AQ-65859-37051

4 vaccinations 9 coded responses 32 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 923 / CA
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: I have a quarter size browse on my arm

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

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Now the Bruise is the size of a half dollar

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

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Hyperhidrosis — Feeling: Good

Free text: Sum sweating and a bruise th size of a half dollar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-13
Survey response — day 14, dose 1
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Asthenia, Feeling abnormal, Headache, Neck pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Head and neck pain upset stomach low energy just not feeling good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Dose 3 — Moderna
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · None

Adult check-in
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: The shoulder where I got my shot I'm having joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-11-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-20
Dose 4 — Moderna
2021-11-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 42, dose 3
MedDRA: Asthenia, Feeling abnormal, Malaise — Feeling: Poor · Be unable to do your normal daily activities

Free text: Feeling yucky no energy just feeling bad every morning I do take pain medication and when I take my medication I feel somewhat better but not great

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Back pain, Fatigue, Gait inability, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired neck and shoulder pain and stabbing pain in my lower back that at times it keeps me from walking

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-20
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Fatigue joint pain and not leaving my house much

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-03-01	Moderna
3	2021-10-20	Moderna	No
4	2021-11-20	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): I have a quarter size browse on my arm

2021-02-03

Systemic reaction (other): Now the Bruise is the size of a half dollar

2021-02-05

Systemic reaction (other): Sum sweating and a bruise th size of a half dollar

Release 4 — day 14, dose 1

2021-02-13

Symptoms: Sweating

Release 5 — day 14, dose 2

2021-03-15

Symptoms: Head and neck pain upset stomach low energy just not feeling good

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): The shoulder where I got my shot I'm having joint pain

Release 10 — day 42, dose 3

2021-12-01

Symptoms: Feeling yucky no energy just feeling bad every morning I do take pain medication and when I take my medication I feel somewhat better but not great

Release 10 — 3 months, dose 3

2022-01-19

Symptoms: Tired neck and shoulder pain and stabbing pain in my lower back that at times it keeps me from walking

Release 12 — 12 months, dose 4

2022-11-20

Symptoms: Fatigue joint pain and not leaving my house much

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gait inability	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Malaise	·	·	✓
SD	Neck pain	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓

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