5N2-12849-87943

4 vaccinations 8 coded responses 51 check-ins 7 free-text entries 6 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 129 / NY
Registered: 2021-03-12

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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-15
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, Abdominal pain

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Feeling cold, Nasopharyngitis, Peripheral coldness, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Like cold symptoms, sniffles and cold body parts feet and nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Pulmonary congestion, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feels like my lungs are full of fluid, mucus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Constipation, Gastrointestinal disorder, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have had some abdominal pain that the drs have not been able to diagnose, seems to radiate from just below the ribcage and i also have been having digestive problems with constipation

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-09
Call 3 — Could Not Reach Participant
2021-10-14
Call 3 — Left Voicemail
2021-10-14
Call X — Could Not Reach Participant
2021-12-21
Dose 3 — Moderna
2021-12-21
Health check-in — day 0, dose 3
Feeling: Fair · Chills, Nausea

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Nausea

Adult check-in
2021-12-28
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Nausea

Adult check-in
2022-01-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Survey response — day 21, dose 3
MedDRA: Muscle disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Muscle contraction in my chest

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Call 1 — Left Voicemail
2022-01-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-01
Survey response — day 42, dose 3
MedDRA: Blood pressure decreased, Dyspnoea — Feeling: Fair

Free text: Seem to feel a quick onset of shortness of breathe or lowering of bllod pressure

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Survey response — 3 months, dose 3
MedDRA: Constipation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-23
Call 1 — Left Voicemail
2022-06-12
Dose 4 — Moderna
2022-06-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2022-06-13
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-14
Call 1 — Left Voicemail
2022-06-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-17
Survey response — day 35, dose 4
MedDRA: Medical counselling, Rash, Stomatitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mouth sores and rashes · Healthcare visit (other): Telephone and web

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-18
Call 1 — Could Not Reach Participant
2022-07-18
Call 1 — Could Not Reach Participant
2022-07-18
Call 2 — Could Not Reach Participant
2022-07-18
Call 2 — Could Not Reach Participant
2022-07-18
Call 2 — Could Not Reach Participant
2022-07-18
Call 1 — Could Not Reach Participant
2022-07-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-15
Call 2 — Could Not Reach Participant
2022-08-15
Call 2 — Could Not Reach Participant
2022-08-15
Call 3 — Could Not Reach Participant
2022-08-15
Call 3 — Could Not Reach Participant
2022-08-15
Call 3 — Could Not Reach Participant
2022-08-15
Call 2 — Could Not Reach Participant
2022-09-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-12
Survey response — 12 months, dose 4
MedDRA: Adverse reaction — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-12-21	Moderna	No
4	2022-06-12	Moderna	No

Call center

6 call center cases

6 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Like cold symptoms, sniffles and cold body parts feet and nose

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Feels like my lungs are full of fluid, mucus

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: I have had some abdominal pain that the drs have not been able to diagnose, seems to radiate from just below the ribcage and i also have been having digestive problems with constipation

Release 10 — day 21, dose 3

2022-01-14

Symptoms: Muscle contraction in my chest

Release 11 — day 42, dose 3

2022-02-01

Symptoms: Seem to feel a quick onset of shortness of breathe or lowering of bllod pressure

Release 11 — 3 months, dose 3

2022-03-22

Symptoms: Constipation

Release 12 — day 35, dose 4

2022-07-17

Symptoms: Mouth sores and rashes

Healthcare visit (other): Telephone and web

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	Medical counselling	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Blood pressure decreased	·	·	✓
SD	Constipation	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Feeling cold	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Muscle disorder	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain	·	·	✓
SD	Peripheral coldness	✓	✓	✓
SD	Pulmonary congestion	✓	✓	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SD	Stomatitis	·	·	✓

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