65S-61241-01416

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-01-19

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: I exprienced a little fatigue. I get tired for bed about 1 hr earlier.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fever

Free text: My fever happen overnight. At 5 am i felt water dripping down my throat. My shirt was wet and bed was soaked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Got a little dizzy after shower. Didn't last long. Felt better after I ate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Good · Fever · Fatigue or tiredness

Free text: My fever was over night and when it broke i was soaked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — day 14, dose 2
MedDRA: Fatigue, Hypersomnia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue and take naps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue...tires easily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 28, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Periodically i get dizzy. Whether i am exercising or walking around house. The dizzy spells don't last long ie 10 to 20 seconds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 35, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Dizziness comes and goes. It might be sinuses. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 42, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Fatigue and at times dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Sometimes a little fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Asthenia, COVID-19, Fatigue, Immunisation reaction, Medical counselling, Pharyngeal erythema, Self-medication — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I had covid-19 from 9/28/21 to 10/10/21. Red covid throat. Symptoms were similiar to side effect of 2nd vaccine shot. Very tired and weak for 2wks after. My internist treated me with steriods for 5 days plus zinc 50 mgs /day. I still take. · Healthcare visit (other): Call from doctor's nurse with his instruction.

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-26	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-09

Symptoms: I exprienced a little fatigue. I get tired for bed about 1 hr earlier.

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): My fever happen overnight. At 5 am i felt water dripping down my throat. My shirt was wet and bed was soaked.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Got a little dizzy after shower. Didn't last long. Felt better after I ate.

2021-03-04

Systemic reaction (other): My fever was over night and when it broke i was soaked.

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Fatigue and take naps.

Release 6 — day 21, dose 2

2021-03-19

Symptoms: Fatigue...tires easily.

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Periodically i get dizzy. Whether i am exercising or walking around house. The dizzy spells don't last long ie 10 to 20 seconds.

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Dizziness comes and goes. It might be sinuses. Fatigue.

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Fatigue and at times dizziness.

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Sometimes a little fatigue.

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: I had covid-19 from 9/28/21 to 10/10/21. Red covid throat. Symptoms were similiar to side effect of 2nd vaccine shot. Very tired and weak for 2wks after. My internist treated me with steriods for 5 days plus zinc 50 mgs /day. I still take.

Healthcare visit (other): Call from doctor's nurse with his instruction.

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	Asthenia	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Immunisation reaction	·	·	✓
SD	Pharyngeal erythema	·	·	✓
SD	Self-medication	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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