5AU-32214-13221

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 296 / SC
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain in jaw — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Pain up the neck into the jaw on the side of the injection. Resolving after 8 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Fatigue, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe fatigue. Could not walk without support. Could not climb or descend stairs. Lasted 24 hours followed by 50% improvement, but fatigue is still unresolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Chest pain, Feeling abnormal, Vertigo — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain/pressure, vertigo, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Feeling abnormal — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Confusion, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Confusional state — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog, confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Oxygen saturation decreased, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart racing to 135 bpm while at rest. Oxygen dropping repeatedly to 94-95%, though it never dropped below 96% even when I had Covid in December. Diarrhea on a couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 28, dose 2
MedDRA: Brain fog, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe leg fatigue and cramping without exercise. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Neuropathy peripheral — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased neuropathy, fatigue, and headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-24
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Pain up the neck into the jaw on the side of the injection. Resolving after 8 hours.

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Severe fatigue. Could not walk without support. Could not climb or descend stairs. Lasted 24 hours followed by 50% improvement, but fatigue is still unresolved.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Brain fog

2021-04-24

Systemic reaction (other): Dizziness, brain fog

2021-04-25

Systemic reaction (other): Chest pain/pressure, vertigo, brain fog

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Confusion, brain fog

2021-04-27

Systemic reaction (other): Brain fog, confusion

2021-04-28

Systemic reaction (other): Brain fog

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Heart racing to 135 bpm while at rest. Oxygen dropping repeatedly to 94-95%, though it never dropped below 96% even when I had Covid in December. Diarrhea on a couple of days.

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Severe leg fatigue and cramping without exercise. Brain fog.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Increased neuropathy, fatigue, and headaches.

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	Brain fog	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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