6DD-55888-52504

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 618 / IL
Registered: 2021-01-30

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Very mild muscle ache where the shot was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 7, dose 1
MedDRA: Insomnia, Rash — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash on back, right & left sides, both forearms starting at the wrist. Severe. Could not sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 14, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: Very mild chest pain this afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Survey response — day 0, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Free text: Pain is very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, 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

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Daily, randomly, itching from head to toe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Survey response — day 28, dose 2
MedDRA: Body temperature decreased, Chills, Fatigue, Head discomfort, Paranasal sinus discomfort, Respiratory tract congestion, Sinusitis — Feeling: Fair

Free text: Head pressure, congestion, low body temperature, chills sometimes, sinus pressure, and currently sinus infection with tiredness.

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

Free text: Tiredness after a day of rest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 42, dose 2
MedDRA: Back pain — Feeling: Fair

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Back pain, Dyspnoea, Fatigue, Headache, Myalgia, Paranasal sinus discomfort, Respiratory tract congestion, Sinus congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion, sinus pressure, muscle aches, headache, back pain, chest congestion, short breath, & tiredness.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Very mild muscle ache where the shot was given.

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Rash on back, right & left sides, both forearms starting at the wrist. Severe. Could not sleep.

Release 4 — day 14, dose 1

2021-02-13

Symptoms: Very mild chest pain this afternoon.

Release 4 — day 0, dose 2

2021-02-27

Systemic reaction (other): Pain is very mild

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Daily, randomly, itching from head to toe.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Head pressure, congestion, low body temperature, chills sometimes, sinus pressure, and currently sinus infection with tiredness.

Release 6 — day 35, dose 2

2021-04-04

Symptoms: Tiredness after a day of rest.

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Back pain

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Sinus congestion, sinus pressure, muscle aches, headache, back pain, chest congestion, short breath, & tiredness.

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	Back pain	✓	✓	✓
SD	Body temperature decreased	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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