6CT-29506-61306

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 117 / NY
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Sleep disorder — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Had one episode of gastrointestinal discomfort in the middle of night. Was very intense for very brief period of time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-12
Survey response — day 7, dose 1
MedDRA: Constipation — Feeling: Good · Fatigue or tiredness

Free text: I've been constipated since vaccine. No change in diet or med regiment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — day 0, dose 2
MedDRA: Feeling abnormal, Suture insertion — Feeling: Fair · Site: Pain

Free text: Odd feeling in torso area; stitches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I feel really drained. This shit better work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I still kind of feel like trash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Fatigue, Sluggishness — Feeling: Fair

Free text: Exhaustion; dragging feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Aphonia, Cough, Dyspnoea, Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: For a period of roughly a week; sore throat, loss of voice, slightly labored breathing, cough, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Had one episode of gastrointestinal discomfort in the middle of night. Was very intense for very brief period of time.

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): I've been constipated since vaccine. No change in diet or med regiment

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Odd feeling in torso area; stitches.

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): I feel really drained. This shit better work.

2021-02-07

Systemic reaction (other): I still kind of feel like trash

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Exhaustion; dragging feeling.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: For a period of roughly a week; sore throat, loss of voice, slightly labored breathing, cough, 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
SD	Aphonia	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sluggishness	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Suture insertion	✓	✓	✓

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