5YD-14560-29551

2 vaccinations 8 coded responses 13 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 810 / CO
Registered: 2021-03-01

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-09
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue, Tremor — Feeling: Poor · Be unable to work

Free text: On the day of the vaccine sometime after I got home, I got severe chills shaking violently and able to control it half the time. I took a long hot shower and went to bed. Fatigue lasted 2 days. I still have fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Mobility decreased, Somnolence, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Exhaustion, groggy, sleepy and stayed mostly in bed the first day and takes 3 days to improve. · Healthcare visit (other): I'm in the process of making an appointment. I'm changing a primary care giver.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Don't feel good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Bradyphrenia, Feeling abnormal — Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Foggy minded and trouble thinking. My head doesn't feel clear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The fatigue really keeps me from doing the daily chores and I don't know if I could keep a job feeling this way.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 2
MedDRA: Fatigue, Malaise — Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very tired and don't feel good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Brain fog, Fatigue, Malaise, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Very fatigued constantly. Burn out easier. Don't feel good. Foggy minded and head not clear. My immune system doesn't seem to be normal. · Healthcare visit (other): Need to make an appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Call 1 — Left Voicemail
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Office visit, Pancreatitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have gotten Pancreatitis since then. · Healthcare visit (other): In office doctors visit.

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Could Not Reach Participant
2021-09-15
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-03-01

Symptoms: On the day of the vaccine sometime after I got home, I got severe chills shaking violently and able to control it half the time. I took a long hot shower and went to bed. Fatigue lasted 2 days. I still have fatigue.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Exhaustion, groggy, sleepy and stayed mostly in bed the first day and takes 3 days to improve.

Healthcare visit (other): I'm in the process of making an appointment. I'm changing a primary care giver.

2021-03-12

Systemic reaction (other): Don't feel good.

2021-03-14

Systemic reaction (other): Foggy minded and trouble thinking. My head doesn't feel clear.

2021-03-15

Systemic reaction (other): The fatigue really keeps me from doing the daily chores and I don't know if I could keep a job feeling this way.

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Very tired and don't feel good.

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Very fatigued constantly. Burn out easier. Don't feel good. Foggy minded and head not clear. My immune system doesn't seem to be normal.

Healthcare visit (other): Need to make an appointment.

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: I have gotten Pancreatitis since then.

Healthcare visit (other): In office doctors visit.

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	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pancreatitis	·	·	✓
SD	Tremor	✓	✓	✓
SRO	Bradyphrenia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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