5DY-66430-80158

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 112 / NY
Registered: 2021-01-25

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue, Muscle fatigue, Somnolence — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tiredness/muscle fatigue, lack of energy, sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lethargy, Somnolence — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepines/lethargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Lethargy, Myalgia — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lethargic/tired, joints pain with occassional pain in the muscle belly as if needle was inserted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Lethargy, Somnolence — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepiness/lethargy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Survey response — day 0, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Occasional joint pain where the perception as if needles are inserted into joints. These reactions are very rapid in its perception and occur more in upper body than lower.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Affect lability, Arthralgia, Asthenia, Back pain, Chills, Dyspnoea, Fatigue, Myalgia, Pain, Paraesthesia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Severe chills at night. Lasted for around 80 minutes. Pain alon the uncontrollable chills all over thw body particularly muscles and joints. Tingling in both feet/toes. Surrounding Muscle pain in lower back. Extreeme weakness and exhaustion. Laborious breathing. Became labile during uncontrollable chills and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Myalgia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Extremely fatigue. Severe chills with muscle and joints pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperacusis, Hyperaesthesia, Irritability — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Irritability, hypersensitivity to touch and noise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Myalgia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Muscle lower back pain at night and during the day circumferential.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-23	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Tiredness/muscle fatigue, lack of energy, sleepiness

2021-01-27

Systemic reaction (other): Sleepines/lethargic

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Lethargic/tired, joints pain with occassional pain in the muscle belly as if needle was inserted.

2021-01-31

Systemic reaction (other): Sleepiness/lethargy

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): Occasional joint pain where the perception as if needles are inserted into joints. These reactions are very rapid in its perception and occur more in upper body than lower.

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Severe chills at night. Lasted for around 80 minutes. Pain alon the uncontrollable chills all over thw body particularly muscles and joints. Tingling in both feet/toes. Surrounding Muscle pain in lower back. Extreeme weakness and exhaustion. Laborious breathing. Became labile during uncontrollable chills and pain.

2021-02-25

Systemic reaction (other): Extremely fatigue. Severe chills with muscle and joints pain

2021-02-26

Systemic reaction (other): Irritability, hypersensitivity to touch and noise

2021-02-27

Systemic reaction (other): Muscle lower back pain at night and during the day circumferential.

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
SRO	Affect lability	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperacusis	✓	✓	✓
SRO	Hyperaesthesia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Muscle fatigue	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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