6BQ-16490-97767

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

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

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Little dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Nonspecific reaction, Unevaluable event — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Strange looking (maybe a rash) on my lower legs it doesnt itch but wasnt there until after the first shot my wife pointed it out to me so Im going to my doctor on the 18th to let him see · Healthcare visit (other): I didnt go yet like I previously said I am going to my doctor at his office

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
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Rash, Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Possible rash on lower legs doesnt itch rash on both butt cheeks that itch · Healthcare visit (other): I see my doctor on Monday

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

1 call case(s)
2021-03-12
Survey response — day 7, dose 2
MedDRA: Office visit — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Office visit on Monday this I have told you before obviously no one is paying attention but I guess a computer doesnt know

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 35, dose 2
MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Strange rash like on legs and right ear has humming in it bot have been happening since my second shot but I thought it might be from something else now Im sure its from the shots · Healthcare visit (other): Dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Office visit, Weight increased — Feeling: Fair

Free text: I have steadily gained weight all together 13lbs and the ONLY thing I can contribute it to is the damn injections, My doctor has given me a physical including blood work Im fine physically, I havent changed my lifestyle except for walking more

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-09
Call 1 — Left Voicemail
2022-03-05
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair

Free text: Daily dizziness daily fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Dizzy

2021-03-07

Systemic reaction (other): Little dizzy

2021-03-10

Systemic reaction (other): Strange looking (maybe a rash) on my lower legs it doesnt itch but wasnt there until after the first shot my wife pointed it out to me so Im going to my doctor on the 18th to let him see

Healthcare visit (other): I didnt go yet like I previously said I am going to my doctor at his office

2021-03-11

Systemic reaction (other): Possible rash on lower legs doesnt itch rash on both butt cheeks that itch

Healthcare visit (other): I see my doctor on Monday

Release 5 — day 7, dose 2

2021-03-12

Healthcare visit (other): Office visit on Monday this I have told you before obviously no one is paying attention but I guess a computer doesnt know

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Strange rash like on legs and right ear has humming in it bot have been happening since my second shot but I thought it might be from something else now Im sure its from the shots

Healthcare visit (other): Dr visit

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: I have steadily gained weight all together 13lbs and the ONLY thing I can contribute it to is the damn injections, My doctor has given me a physical including blood work Im fine physically, I havent changed my lifestyle except for walking more

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: Daily dizziness daily fatigue

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	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Office visit	✓	·	✓
SD	Rash	✓	✓	✓
SD	Weight increased	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Nonspecific reaction	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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