5R9-12386-49448

4 vaccinations 20 coded responses 53 check-ins 19 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 415 / KY
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Malaise, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Insomnia, soreness, general feeling of being unwell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Very sore injection site, not as bad as yesterday, but bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Insomnia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still having trouble sleeping, soreness at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Nasal congestion — Feeling: Good · Headache

Free text: Still a little soreness in the injection site, stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Slightly sore at the injection site, hurts to put on or take off jacket, shirt

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: Injection site pain — Feeling: Good

Free text: Still sore at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Pain — Feeling: Fair · Chills, Fatigue or tiredness, Abdominal pain

Free text: Mildly sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain

Free text: Soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very sore injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Extremely sore injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Extremely sore injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Very sore injection site,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache

Free text: Sore injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
Co-administered: Flu
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Nausea

Free text: Arm is very sore

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Soreness at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-26
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-07-10
Dose 4 — Moderna
Co-administered: Shingles
2022-07-10
Survey response — day 0, dose 4
MedDRA: Pain, Pruritus — Feeling: Good · Site: Itching

Free text: Shingles shot is sore and itchy

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Survey response — days 1–6 daily, dose 4
MedDRA: Pain, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling, soreness

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Survey response — days 1–6 daily, dose 4
MedDRA: Medical counselling, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: I called the nurse with my insurance plan and she told me that fevers up to 7 days are common, but if anything should get worse to go to an urgent care or ER

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-14
Survey response — days 1–6 daily, dose 4
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Arms very sore especially the shingles vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-17
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-07-24
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-07-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-07
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-08-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-21
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-08
Survey response — 6 months, dose 4
MedDRA: Influenza, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-10-26	Moderna	Flu
4	2022-07-10	Moderna	Shingles

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Insomnia, soreness, general feeling of being unwell

2021-01-23

Systemic reaction (other): Very sore injection site, not as bad as yesterday, but bad

2021-01-24

Systemic reaction (other): Still having trouble sleeping, soreness at the injection site

2021-01-25

Systemic reaction (other): Still a little soreness in the injection site, stuffy nose

2021-01-26

Systemic reaction (other): Slightly sore at the injection site, hurts to put on or take off jacket, shirt

2021-01-27

Systemic reaction (other): Still sore at the injection site

Release 3 — day 7, dose 1

2021-01-28

Systemic reaction (other): Mildly sore

Release 4 — day 0, dose 2

2021-02-18

Systemic reaction (other): Soreness at injection site

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Very sore injection site

2021-02-20

Systemic reaction (other): Extremely sore injection site

2021-02-21

Systemic reaction (other): Extremely sore injection site.

2021-02-22

Systemic reaction (other): Very sore injection site,

2021-02-23

Systemic reaction (other): Sore injection site

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Arm is very sore

2021-10-29

Systemic reaction (other): Soreness at injection site

Release 12 — day 0, dose 4

2022-07-10

Systemic reaction (other): Shingles shot is sore and itchy

Release 12 — days 1–6 daily, dose 4

2022-07-11

Systemic reaction (other): Swelling, soreness

2022-07-12

Healthcare visit (other): I called the nurse with my insurance plan and she told me that fevers up to 7 days are common, but if anything should get worse to go to an urgent care or ER

2022-07-14

Systemic reaction (other): Arms very sore especially the shingles vaccine

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	·	·	✓
HCVO	Pyrexia	·	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Swelling	·	·	✓

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