6DA-29299-57906

4 vaccinations 12 coded responses 19 check-ins 12 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-03-09

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-02-08
Dose 1 — Moderna
2021-03-08
Dose 2 — Moderna
2021-03-09
Registered in v-safe
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: My normal temp is 96.7

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Peripheral coldness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ice cold and numb fingers on both hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Peripheral coldness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches

Free text: Cold numb fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen right thumb joint with severe pain, no contact to create trama

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue low energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 21, dose 2
MedDRA: Abnormal dreams, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe headache vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 35, dose 2
MedDRA: Abnormal dreams, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, muscle aches, vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 42, dose 2
MedDRA: Back pain, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain, stiffness, especially upper back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Contusion, Joint swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bruised and swollen left ankle w/o physical trauma.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Medical counselling, Muscle spasms — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe cramps have subsided since change of medication and supplements at Dr's direction.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-07
Call successful
Does not wish to fill out VAERS report
2021-09-07
Call successful
Does not wish to fill out VAERS report
2021-11-04
Dose 3 — Moderna
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-09
Dose 4 — Moderna
2022-05-16
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-23
Survey response — day 14, dose 4
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna
3	2021-11-04	Moderna	No
4	2022-05-09	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): My normal temp is 96.7

2021-03-10

Systemic reaction (other): Ice cold and numb fingers on both hands

2021-03-11

Systemic reaction (other): Cold numb fingers

2021-03-12

Systemic reaction (other): Swollen right thumb joint with severe pain, no contact to create trama

Release 6 — day 14, dose 2

2021-03-22

Symptoms: Fatigue low energy

Release 6 — day 21, dose 2

2021-03-29

Symptoms: Severe headache vivid dreams

Release 6 — day 28, dose 2

2021-04-05

Symptoms: Fatigue Headaches

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Headaches, muscle aches, vivid dreams

Release 7 — day 42, dose 2

2021-04-19

Symptoms: Back pain, stiffness, especially upper back

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Bruised and swollen left ankle w/o physical trauma.

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Severe cramps have subsided since change of medication and supplements at Dr's direction.

Release 11 — day 14, dose 4

2022-05-23

Symptoms: 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	Abnormal dreams	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Medical counselling	✓	·	✓
SD	Muscle spasms	✓	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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