5US-25156-30096

4 vaccinations 27 coded responses 40 check-ins 26 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 780 / TX
Registered: 2021-03-17

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Confusional state, Discomfort, Dyspnoea, Neck pain, Pain, Self-medication, Sluggishness — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Top of shoulders up to the neck pain. Around my waist and under pain. Confusion. Feels like a couple of times i couldnt catch my breath minutes after i tool tylenol. I feel heavy and in slow motion. I stoped taking tylenol.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Coating in mouth, Deafness, Diarrhoea, Dyspnoea, Ear discomfort, Ocular hyperaemia, Throat clearing, Throat irritation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Some shortness of breath. No cough but having to clear my throat often. I feel like i have a film liner in mouth and throat. Diareaha is mild. Red eyes and stuffed ears, loss of hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Tonsillar hypertrophy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: My tonsils swelled up alot last night still are. I feel watery around my eyes. My voices has change. Jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Lacrimation increased, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tonsil & throat pain. Water & itchy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Lacrimation increased, Ocular hyperaemia, Tonsillar hypertrophy — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: A bit Tonsil swelling but better than the last two days. Eyes still red, watery & a bit itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Cough, Lacrimation increased, Sneezing — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: I noticed last night and this morning, been slightly dry coughing & sneezing. Still a bit heavy on the eyes and watery.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 1
MedDRA: Diarrhoea, Fatigue, Limb discomfort — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Just a little diarrhea. Fatigue. And arms feel heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 1
MedDRA: Cough, Diarrhoea, Fatigue, Headache — Feeling: Good · Be unable to work

Free text: Fatigue and diarrhea with head ache. Dry cough. 3 past days but doing alot better today. Tested negative last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Anosmia, Dysarthria, Fatigue, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: I cant explain how im so tired but also cant sleep at night. Slur speech minutes after the vaccine. But ok now. Also, just want to point out that i havent got back my full sence of smell before the vaccine. I can smell but have to be close to the nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, No adverse event — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: I feel better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Im getting better and glad that i did get the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Doing better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-21
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Im feel alot better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Feeling hot, Haematochezia, Headache, Limb discomfort, Nausea, Night sweats, Pyrexia — Feeling: Poor · Be unable to work

Free text: Lots of naushea, diareha, headache & fatigue. Heavy arms. Also started to have blood in the stool. Also had fever about 3 days ago. Fever is gone bit feel warm in the stomach. Night sweats. Have not retested.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 2
MedDRA: Deafness, Dry throat, Fatigue, Limb discomfort, Night sweats, Pain in extremity, Parosmia, Sputum discoloured, Taste disorder, Throat irritation — Feeling: Fair · Be unable to work

Free text: Green flem. leg & arm pain & heavy. Lots of Fatigue. Night sweats. Small dry throat itch. Ears feel like i lost hearing. I can smell but not the same. Taste is there too but different sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Anosmia, Cough, Diarrhoea, Headache, Limb discomfort, Night sweats, Pain in extremity, Sputum discoloured — Feeling: Fair · Be unable to work

Free text: Mild dry Cough but with green flem. Loss of smell, arms pain and heavy. I was told to work it out exercising, so i been doing that. But i get night sweats. Head ache & some diarea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Cold sweat, Cough, Diarrhoea, Fatigue, Limb discomfort, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea, coughing, sneezing, cold sweats, fatigue, heavy arms,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Anosmia, Arthralgia, Cough, Diarrhoea, Dyspnoea, Fear, Headache, Limb discomfort, Myalgia, Pain in extremity, Parosmia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diareha, no smell. Weird smell, joint & muscle pain. Heavy arms & pain. Dry cough. Head ache. I feel like i dont breath the same. Some times shot but tollerable. Scarry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Fatigue, Limb discomfort — Feeling: Good

Free text: Tired and heavy arms, legs.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Dose 3 — Moderna
Co-administered: Flu
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-30
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Cough, Discomfort, Eye pruritus, Pre-existing disease, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sneezing, minor cough, shoulders pain/preasure. Eyes itch. Probably allergies

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Dose 4 — Moderna
2022-05-03
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hard stiff neck & shoulders

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: Na

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Na

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: I feel great

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-15
Survey response — day 42, dose 4
MedDRA: Arthralgia, Feeling hot, Hyperhidrosis, Myalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hard joint & mucle pains. Day & Night swets. Feel hot all over but no fever. Its wierd. The most pain around shoulders & knees.

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-02
Survey response — 12 months, dose 4
MedDRA: Dysgeusia, Fatigue, Limb discomfort, Oropharyngeal discomfort, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-10-26	Moderna	Flu
4	2022-05-02	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Top of shoulders up to the neck pain. Around my waist and under pain. Confusion. Feels like a couple of times i couldnt catch my breath minutes after i tool tylenol. I feel heavy and in slow motion. I stoped taking tylenol.

2021-03-19

Systemic reaction (other): Some shortness of breath. No cough but having to clear my throat often. I feel like i have a film liner in mouth and throat. Diareaha is mild. Red eyes and stuffed ears, loss of hearing

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): My tonsils swelled up alot last night still are. I feel watery around my eyes. My voices has change. Jaw pain

2021-03-21

Systemic reaction (other): Tonsil & throat pain. Water & itchy eyes

2021-03-22

Systemic reaction (other): A bit Tonsil swelling but better than the last two days. Eyes still red, watery & a bit itchy

2021-03-23

Systemic reaction (other): I noticed last night and this morning, been slightly dry coughing & sneezing. Still a bit heavy on the eyes and watery.

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Just a little diarrhea. Fatigue. And arms feel heavy

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Fatigue and diarrhea with head ache. Dry cough. 3 past days but doing alot better today. Tested negative last week.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): I cant explain how im so tired but also cant sleep at night. Slur speech minutes after the vaccine. But ok now. Also, just want to point out that i havent got back my full sence of smell before the vaccine. I can smell but have to be close to the nose.

2021-04-17

Systemic reaction (other): I feel better

2021-04-18

Systemic reaction (other): Im getting better and glad that i did get the vaccine

2021-04-19

Systemic reaction (other): Doing better today

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Im feel alot better

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Lots of naushea, diareha, headache & fatigue. Heavy arms. Also started to have blood in the stool. Also had fever about 3 days ago. Fever is gone bit feel warm in the stomach. Night sweats. Have not retested.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Green flem. leg & arm pain & heavy. Lots of Fatigue. Night sweats. Small dry throat itch. Ears feel like i lost hearing. I can smell but not the same. Taste is there too but different sometimes

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Mild dry Cough but with green flem. Loss of smell, arms pain and heavy. I was told to work it out exercising, so i been doing that. But i get night sweats. Head ache & some diarea.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Diarrhea, coughing, sneezing, cold sweats, fatigue, heavy arms,

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Diareha, no smell. Weird smell, joint & muscle pain. Heavy arms & pain. Dry cough. Head ache. I feel like i dont breath the same. Some times shot but tollerable. Scarry

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Tired and heavy arms, legs.

Release 11 — 6 months, dose 3

2022-04-30

Symptoms: Sneezing, minor cough, shoulders pain/preasure. Eyes itch. Probably allergies

Release 11 — days 1–6 daily, dose 4

2022-05-03

Systemic reaction (other): Hard stiff neck & shoulders

2022-05-04

2022-05-07

Systemic reaction (other): Na

2022-05-08

Systemic reaction (other): Na

Release 11 — day 7, dose 4

2022-05-09

Systemic reaction (other): I feel great

Release 12 — day 42, dose 4

2022-06-15

Symptoms: Hard joint & mucle pains. Day & Night swets. Feel hot all over but no fever. Its wierd. The most pain around shoulders & knees.

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	Anosmia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cold sweat	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Dry throat	✓	✓	✓
SD	Dysgeusia	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye pruritus	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Fear	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Haematochezia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Oropharyngeal discomfort	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Sputum discoloured	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Coating in mouth	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dysarthria	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	○	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sluggishness	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat clearing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tonsillar hypertrophy	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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