5FF-22720-26537

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 992 / WA
Registered: 2021-03-26

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

2021-03-25
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Discharge, Paranasal sinus hyposecretion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry sinus feeling even though i have drainage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Discharge, Paranasal sinus hyposecretion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry sinus even though i have drainage

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

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Chills, Muscle or body aches

Free text: Slight lite headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

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: Dysphagia, Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, hard to swallow food. Liquids ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Odynophagia — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Hurts to swallow and right ear hurts

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: Odynophagia — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still hurts to swallow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Odynophagia, Oropharyngeal pain — Feeling: Poor · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sore throat, hurts to swallow, difficult to breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Cough, Hypoaesthesia, Trigger points — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore left shoulder near where i got the shot. Getting muscle knots and such. Shoulder gets numb and radiates down arm. Hurts that same area when i cough

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Call 1 — Left Voicemail

Vaccinations

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

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Dry sinus feeling even though i have drainage.

2021-03-31

Systemic reaction (other): Dry sinus even though i have drainage

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Slight lite headed

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Shortness of breath

2021-04-25

Systemic reaction (other): Sore throat, hard to swallow food. Liquids ok

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Hurts to swallow and right ear hurts

2021-04-28

Systemic reaction (other): Still hurts to swallow

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Sore throat, hurts to swallow, difficult to breath

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Sore left shoulder near where i got the shot. Getting muscle knots and such. Shoulder gets numb and radiates down arm. Hurts that same area when i cough

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	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Trigger points	·	·	✓
SRO	Discharge	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Odynophagia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus hyposecretion	✓	✓	✓

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