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6EK-26234-30222

3 vaccinations 12 coded responses 39 check-ins 12 free-text entries 3 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
930 / CA
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Survey response — day 0, dose 1
    MedDRA: Eye pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Aching eyes, flu-like
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-05
    Report sent to call center — day 0, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-06
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 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)
  9. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Injection site is still swollen and tender on palpation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  11. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  12. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  13. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  14. 2021-01-19
    Survey response — day 14, dose 1
    MedDRA: Insomnia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Insomnia. I have always slept soundly. It's been going on since the injection. I didn't think the two were related so I have not been reporting it until now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-02-02
    Dose 2 — Moderna
  17. 2021-02-02
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Insomnia. This is the second time now. Definitely the vaccine causing it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: INSOMNIA
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  24. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  25. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-03-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-05-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  32. 2021-12-18
    Dose 3 — Moderna
    Co-administered: Flu
  33. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  34. 2021-12-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  35. 2021-12-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Insomnia, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches
    Free text: Swollen lymph nodes in axilla on side of injection. Moderate insomnia.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Joint pains
    Adult check-in
  37. 2021-12-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Insomnia — Feeling: Good · Site: Swelling · Joint pains, Fatigue or tiredness
    Free text: Insomnia
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-25
    Survey response — day 7, dose 3
    MedDRA: Insomnia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Insomnia
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-01-03
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-08
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-15
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-22
    Survey response — day 35, dose 3
    MedDRA: Insomnia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Severe insomnia. It happened with both of the first two injections. One of my adult children reported the same problem after getting the Moderna vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-02-02
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-03-19
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-06-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-12-18
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna
32021-12-18Moderna Flu

Call center

3 call center cases

3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-05

Systemic reaction (other): Aching eyes, flu-like

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Injection site is still swollen and tender on palpation

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Insomnia. I have always slept soundly. It's been going on since the injection. I didn't think the two were related so I have not been reporting it until now.

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Insomnia. This is the second time now. Definitely the vaccine causing it.

2021-02-04

Systemic reaction (other): INSOMNIA

2021-02-05

Systemic reaction (other): Insomnia

2021-02-06

Systemic reaction (other): Insomnia

2021-02-07

Systemic reaction (other): Insomnia

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Swollen lymph nodes in axilla on side of injection. Moderate insomnia.

2021-12-24

Systemic reaction (other): Insomnia

Release 10 — day 7, dose 3

2021-12-25

Systemic reaction (other): Insomnia

Release 11 — day 35, dose 3

2022-01-22

Symptoms: Severe insomnia. It happened with both of the first two injections. One of my adult children reported the same problem after getting the Moderna vaccine.

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

FieldPreferred term2021-092023-042024-11
SDInsomnia ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROLymphadenopathy · · ✓

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