5UP-16600-63304

5 vaccinations 20 coded responses 48 check-ins 19 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 502 / IA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Fatigue or tiredness

Free text: Arm a little sore from the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Was tired the day of my shot but that has subsided for the most part

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hypersomnia — Feeling: Good · Fatigue or tiredness

Free text: Still a little fatigued but seems to be getting better I never take naps and Ive had a nap every day after the shot just to rejuvenate. Sleeping well at nite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Getting much better with the fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Full body pin and needles up and down both arms and legs. This lasted for over 4 hr. And started about 12 hours after my shot. The rest of the night was legs and arms ache. This lasted for a total of 40 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Body ache and needle stabbing his pretty much subsided. Soreness in the arm is about all that is left

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains

Free text: Joint pain is going away and much better then yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Sensitive skin — Feeling: Good · Site: Pain · Joint pains

Free text: Much better today. Still have sensitive area where I received the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 7, dose 2
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Minor muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Nothing with Covid I feel Im having heart issues and will see a specialist on April first

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: Yes on the ache but not Freon my COVID shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Not from the shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 7, dose 3
MedDRA: Pain, Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Body ache is from other causes

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 35, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Good poison

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-07
Call 1 — Left Voicemail
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Head congestion running nose, cough from nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Could Not Reach Participant
2022-04-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-13
Dose 4 — Moderna
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19, Cough — Feeling: Good

Free text: Think I may have COVID cough lingering

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19, Cough — Feeling: Good

Free text: Have had a cough since Jan during and after COVID. Still have the cough. now

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Survey response — day 28, dose 4
MedDRA: COVID-19, Cough, Pre-existing disease — Feeling: Good

Free text: Allergy Plus still have the lingering cough since I had COVID in January

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-12
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-11
Survey response — 6 months, dose 4
MedDRA: Cough, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bad sinus congestion and cough. Now after 10 days of meds I still have congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-12
Survey response — 6 months, dose 5
MedDRA: SARS-CoV-2 test positive, Sinusitis — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-10-22	Moderna	No
4	2022-05-13	Moderna	No
5	2022-10-12	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Arm a little sore from the shot

2021-01-16

Systemic reaction (other): Was tired the day of my shot but that has subsided for the most part

2021-01-17

Systemic reaction (other): Still a little fatigued but seems to be getting better I never take naps and Ive had a nap every day after the shot just to rejuvenate. Sleeping well at nite

2021-01-18

Systemic reaction (other): Getting much better with the fatigue

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Full body pin and needles up and down both arms and legs. This lasted for over 4 hr. And started about 12 hours after my shot. The rest of the night was legs and arms ache. This lasted for a total of 40 hours

2021-02-13

Systemic reaction (other): Body ache and needle stabbing his pretty much subsided. Soreness in the arm is about all that is left

2021-02-14

Systemic reaction (other): Joint pain is going away and much better then yesterday

2021-02-15

Systemic reaction (other): Much better today. Still have sensitive area where I received the shot

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Minor muscle aches.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Nothing with Covid I feel Im having heart issues and will see a specialist on April first

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Yes on the ache but not Freon my COVID shot

2021-10-28

Systemic reaction (other): Not from the shot

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): Body ache is from other causes

Release 10 — day 35, dose 3

2021-11-26

Symptoms: Good poison

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Head congestion running nose, cough from nasal drip

Release 11 — days 1–6 daily, dose 4

2022-05-18

Systemic reaction (other): Think I may have COVID cough lingering

2022-05-19

Systemic reaction (other): Have had a cough since Jan during and after COVID. Still have the cough. now

Release 12 — day 28, dose 4

2022-06-10

Symptoms: Allergy Plus still have the lingering cough since I had COVID in January

Release 12 — 6 months, dose 4

2022-11-11

Symptoms: Bad sinus congestion and cough. Now after 10 days of meds I still have congestion

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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