5HH-33715-67821

1 vaccination 5 coded responses 6 check-ins 5 free-text entries 5 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 191 / PA
Registered: 2021-04-16

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

2021-04-08
Dose 1 — Moderna
2021-04-16
Registered in v-safe
2021-04-16
Survey response — day 7, dose 1
MedDRA: Dizziness, Dysgeusia, Hypoaesthesia, Memory impairment, Paraesthesia oral, Unevaluable event, Vision blurred — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Systemic reaction (other): Tingling metallic taste in mouth along with dizziness and left hand same side as injection site has felt like when your hand falls asleep without all the pins and needles it's severe with no signs of any relief. I'm having trouble staying focused and remembering simple things in the middle of a task · Healthcare visit (other): Cat scan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Emergency care, Myalgia, Neck pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Extreme pain in all muscles and joints along with back and neck. All my other symptoms haven't gone away yet and I've been in the emergency room twice now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — day 21, dose 1
MedDRA: Adverse reaction — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Same symptoms as my first check in just worse than ever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 28, dose 1
MedDRA: Brain fog, Dizziness, Metamorphopsia, Myalgia, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: I still have the same symptoms as the first report. But my back, neck, hips, joints, muscle pain is extremely worse. The brain fog the dizzyness the vision distortion is much worse. I'm in so much pain. It's torture waking up every morning with this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Survey response — day 35, dose 1
MedDRA: Adverse reaction, Suicidal ideation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Everything is the same as the very first one I completed just much worse. I can't take much more of this. No one is helping and I'm ready to kill myself

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 35, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2021-12-28
Call 1 — Left Voicemail
2021-12-28
Call 1 — Left Voicemail
2021-12-28
Call 1 — Left Voicemail
2021-12-28
Call 1 — Left Voicemail
2022-04-08
Health check-in — 12 months, dose 1
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna

Call center

5 call center cases

5 unsuccessful

5 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Tingling metallic taste in mouth along with dizziness and left hand same side as injection site has felt like when your hand falls asleep without all the pins and needles it's severe with no signs of any relief. I'm having trouble staying focused and remembering simple things in the middle of a task

Healthcare visit (other): Cat scan

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Extreme pain in all muscles and joints along with back and neck. All my other symptoms haven't gone away yet and I've been in the emergency room twice now.

Release 8 — day 21, dose 1

2021-05-01

Symptoms: Same symptoms as my first check in just worse than ever.

Release 8 — day 28, dose 1

2021-05-07

Symptoms: I still have the same symptoms as the first report. But my back, neck, hips, joints, muscle pain is extremely worse. The brain fog the dizzyness the vision distortion is much worse. I'm in so much pain. It's torture waking up every morning with this. cut off by CDC

Release 8 — day 35, dose 1

2021-05-15

Symptoms: Everything is the same as the very first one I completed just much worse. I can't take much more of this. No one is helping and I'm ready to kill myself

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	Unevaluable event	✓	✓	✓
SD	Adverse reaction	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Metamorphopsia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Suicidal ideation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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