5BX-29615-52785

2 vaccinations 9 coded responses 10 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 182 / PA
Registered: 2021-04-07

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

2021-04-05
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: I'm immunocompromised w/ several autoimmune conditions, so I very rarely feel good. I'm normally fatigued and in a lot of pain, however I haven't experienced any excess today due to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: As I reported before, I'm immunocompromised patient w/ several autoimmune conditions. I experience the symptoms I checked above on a daily basis, but the vaccine hasn't made them any worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to work

Free text: As I've said in my previous check-ins, I suffer from multiple autoimmune disorders, so the symptoms I experience on a daily basis. However, the vaccine has not made them any worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: As I've stated in all my other check-ins, I suffer from multiple autoimmune diseases. The symptoms I experience on a daily basis are attributed to them. However, the vaccine has not made them any worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: As with all my other daily check-ins, I have reported I suffer from multiple autoimmune disorders. The checked items are things I experience on a daily basis, however the vaccine has not made them any worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-26
Survey response — day 21, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work

Free text: High red blood cell, hemoglobin, and hemocrit, w/ normal iron, but low ferritin; which required phlebotomy. Have had it in the past before being vaccinated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Dose 2 — Moderna
2021-05-03
Survey response — day 0, dose 2
MedDRA: Malaise, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to work

Free text: As I've stated on all my previous check-ins, I suffer from multiple autoimmune disorders and take immunosuppressants daily. So I generally feel unwell, however, the vaccine has made nothing worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to work or attend school

Free text: As I've stated in all my other check-ins, I suffer from multiple autoimmune disorders, so I experience symptoms on a daily basis. However, the vaccine has not made any of them worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: As I've stated in my other check-ins, I have multiple autoimmune disorders and the symptoms I experience are from them. However, the vaccine has not made anything worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): I'm immunocompromised w/ several autoimmune conditions, so I very rarely feel good. I'm normally fatigued and in a lot of pain, however I haven't experienced any excess today due to the vaccine.

2021-04-08

Systemic reaction (other): As I reported before, I'm immunocompromised patient w/ several autoimmune conditions. I experience the symptoms I checked above on a daily basis, but the vaccine hasn't made them any worse.

2021-04-10

Systemic reaction (other): As I've said in my previous check-ins, I suffer from multiple autoimmune disorders, so the symptoms I experience on a daily basis. However, the vaccine has not made them any worse.

2021-04-11

Systemic reaction (other): As I've stated in all my other check-ins, I suffer from multiple autoimmune diseases. The symptoms I experience on a daily basis are attributed to them. However, the vaccine has not made them any worse.

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): As with all my other daily check-ins, I have reported I suffer from multiple autoimmune disorders. The checked items are things I experience on a daily basis, however the vaccine has not made them any worse.

Release 8 — day 21, dose 1

2021-04-26

Symptoms: High red blood cell, hemoglobin, and hemocrit, w/ normal iron, but low ferritin; which required phlebotomy. Have had it in the past before being vaccinated.

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): As I've stated on all my previous check-ins, I suffer from multiple autoimmune disorders and take immunosuppressants daily. So I generally feel unwell, however, the vaccine has made nothing worse.

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): As I've stated in all my other check-ins, I suffer from multiple autoimmune disorders, so I experience symptoms on a daily basis. However, the vaccine has not made any of them worse.

2021-05-05

Systemic reaction (other): As I've stated in my other check-ins, I have multiple autoimmune disorders and the symptoms I experience are from them. However, the vaccine has not made anything worse.

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	Pre-existing disease	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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