5CX-93442-35955

3 vaccinations 10 coded responses 30 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 432 / OH
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Fair

Free text: Sore injection arm shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 21, dose 1
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair

Free text: A little head ach & a bit of a sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Poor · Joint pains, Muscle or body aches

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: Rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Good · Fever · Headache

Free text: Woke up middle of night sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 28, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good

Free text: Rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Diarrhoea, Neck pain — Feeling: Fair

Free text: Loose stools and hip and neck ache

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, headache, sinus infection. Got an antibiotic

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Dose 3 — Moderna
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: About12hrs after my 3rd full dose of the vaccine ihad all but 3 of the symptoms above pretty severely but not as severely as after the 2nd dose

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-09
Survey response — day 21, dose 3
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to work or attend school

Free text: Rheumatoid arthritis acting up

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-23
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Survey response — 12 months, dose 3
MedDRA: Nasopharyngitis, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Super bad cold going on 3 weeks · Healthcare visit (other): Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-11-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-17	Moderna
3	2021-11-18	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Sore injection arm shoulder

Release 7 — day 21, dose 1

2021-04-11

Symptoms: A little head ach & a bit of a sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Rheumatoid arthritis

2021-04-21

Systemic reaction (other): Woke up middle of night sweating

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Rheumatoid arthritis

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Loose stools and hip and neck ache

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Sore throat, headache, sinus infection. Got an antibiotic

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): About12hrs after my 3rd full dose of the vaccine ihad all but 3 of the symptoms above pretty severely but not as severely as after the 2nd dose

Release 10 — day 21, dose 3

2021-12-09

Symptoms: Rheumatoid arthritis acting up

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: Super bad cold going on 3 weeks

Healthcare visit (other): Doctor visit

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
HCVO	Office visit	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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