5MB-26286-45603

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 1 call case

Sex: Male
Age at first dose: 36-40
ZIP prefix: 945 / CA
Registered: 2021-02-04

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good

Free text: Weird tingling in hands and joints minutes after being administered vaccine but have since subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Intermittent tightness near heart, left side of chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Chest pain, Hypoaesthesia — Feeling: Good · Muscle or body aches

Free text: Chest pain and discomfort. Leg and knee numbness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Muscle or body aches

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 1
MedDRA: Chest pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Chest pain, Chills, Myalgia — Feeling: Good

Free text: I started to experience side effects after a week of getting the first dose. Those side effects were chest pains and muscle aches, followed with chills and stomach problems. Also, why was there a break in check-in period?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 28, dose 1
MedDRA: Dry skin, Skin discolouration — Feeling: Good

Free text: Dry skin and discoloration.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Dose 2 — Moderna
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Hair disorder — Feeling: Good · Fatigue or tiredness

Free text: During the first 24 hours after the 2nd vaccine, my hair was hurting. Twas an unusual side effect.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — day 14, dose 2
MedDRA: Nausea — Feeling: Good

Free text: Queazy and nauseated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 21, dose 2
MedDRA: Chest pain, Discomfort — Feeling: Fair

Free text: Chest pain and discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Chest pain — Feeling: Fair

Free text: Chest pain and discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Good

Free text: Fatigue and insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Back pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Lower back pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Report sent to call center — 6 months, dose 2
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)
2021-09-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-08	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Weird tingling in hands and joints minutes after being administered vaccine but have since subsided

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Intermittent tightness near heart, left side of chest

2021-02-08

Systemic reaction (other): Chest pain and discomfort. Leg and knee numbness.

2021-02-09

Systemic reaction (other): Chest pain

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Chest pain

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Chest pain

Release 4 — day 14, dose 1

2021-02-18

Symptoms: I started to experience side effects after a week of getting the first dose. Those side effects were chest pains and muscle aches, followed with chills and stomach problems. Also, why was there a break in check-in period?

Release 5 — day 28, dose 1

2021-03-04

Symptoms: Dry skin and discoloration.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): During the first 24 hours after the 2nd vaccine, my hair was hurting. Twas an unusual side effect.

Release 6 — day 14, dose 2

2021-03-22

Symptoms: Queazy and nauseated.

Release 6 — day 21, dose 2

2021-03-29

Symptoms: Chest pain and discomfort.

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Chest pain and discomfort

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Fatigue and insomnia

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Lower back pain

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	Abdominal discomfort	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Discomfort	○	○	○
SRO	Hair disorder	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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