6AA-27602-33886

4 vaccinations 15 coded responses 40 check-ins 15 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-02-04

Relationship: Self
Race: White
Ethnicity: Not 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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Poor · 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: lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Survey response — day 0, dose 2
MedDRA: Rotator cuff syndrome — Feeling: Good

Free text: torn rotator cuff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Appetite disorder, Nausea — Feeling: Good · Site: Pain

Free text: queasiness, appetite not normal. yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — day 14, dose 2
MedDRA: Arthralgia, Body temperature increased, Decreased appetite, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: This is retrospective. Day 8 had severe body and joint aches with 100 fever. Couldn't get out of bed. No desire for food. Day 9-12 continued symptoms, 99 temperature. Still no food desire. Day 13 started to want to eat. Continue body ache. No temper

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue

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

Free text: Continuing fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuing fatigue, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Dose 3 — Moderna
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Fever · Fatigue or tiredness

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-08-26
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-11
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-09-30
Survey response — day 42, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — 3 months, dose 3
MedDRA: Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme queasiness. It comes and goes

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, breathlessness

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Dose 4 — Moderna
2022-04-15
Survey response — day 42, dose 4
MedDRA: Dyspnoea, Fatigue — Feeling: Fair

Free text: Fatigue. Breathlessness.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — 3 months, dose 4
MedDRA: COVID-19, Interstitial lung disease, Pulmonary fibrosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pulmonary fibrosis. ILD. Probably started after initial Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Survey response — 6 months, dose 4
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2023-03-02
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-05	Moderna
3	2021-08-19	Moderna	No
4	2022-03-02	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): lack of appetite

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): torn rotator cuff

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): queasiness, appetite not normal. yet.

Release 5 — day 14, dose 2

2021-03-19

Symptoms: This is retrospective. Day 8 had severe body and joint aches with 100 fever. Couldn't get out of bed. No desire for food. Day 9-12 continued symptoms, 99 temperature. Still no food desire. Day 13 started to want to eat. Continue body ache. No temper cut off by CDC

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Fatigue

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Continuing fatigue

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Continuing fatigue, shortness of breath

Release 9 — days 1–6 daily, dose 3

2021-08-21

Systemic reaction (other): Loss of appetite

Release 9 — day 21, dose 3

2021-09-11

Symptoms: Fatigue

Release 9 — day 42, dose 3

2021-09-30

Symptoms: Fatigue

Release 10 — 3 months, dose 3

2021-11-18

Symptoms: Extreme queasiness. It comes and goes

Release 11 — 6 months, dose 3

2022-02-17

Symptoms: Fatigue, breathlessness

Release 11 — day 42, dose 4

2022-04-15

Symptoms: Fatigue. Breathlessness.

Release 11 — 3 months, dose 4

2022-06-01

Symptoms: Pulmonary fibrosis. ILD. Probably started after initial Covid.

Release 12 — 6 months, dose 4

2022-08-31

Symptoms: Fatigue, shortness of breath

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	Arthralgia	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Interstitial lung disease	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pulmonary fibrosis	·	·	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Rotator cuff syndrome	✓	✓	✓

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