6GH-35465-70425

3 vaccinations 5 coded responses 37 check-ins 5 free-text entries 2 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 641 / MO
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Swelling, Itching · Headache

Free text: My whole body itched for about 4 hours after the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Fatigue, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to work

Free text: Symptoms not daily but have had a few days that it was bad, Diarrhea, Headache, fever, body aches, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling · Headache

Adult check-in
2021-02-16
Survey response — day 14, dose 2
MedDRA: Oral herpes, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever blister which always requires anti-viral tablets to heal. I had shingles and ever since then I have this problem. If my immune system isnt as strong as it should be, this happens.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Blood glucose abnormal, Blood glucose increased, Food interaction, Glucose tolerance impaired, Pre-existing disease, Stress — Feeling: Good

Free text: My fasting blood glucose is showing prediabetes, it could be diet and stress though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Call 1 — Left Voicemail
2021-08-03
Survey response — 6 months, dose 2
MedDRA: C-reactive protein increased, Inflammation, Red blood cell abnormality, Uveitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diagnosed with uveitis. CRP 4 times higher than normal. Another test re. Red blood cells sinking in test tube way above normal. Definitely have systemic inflammation but none of the normal inflammatory / autoimmune diseases have been detected.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Dose 3 — Moderna
Co-administered: yes
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Headache

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Headache · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Poor · Fever · Headache · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-02	Moderna
3	2021-10-29	Moderna	Yes

Call center

2 call center cases

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

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): My whole body itched for about 4 hours after the shot.

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Symptoms not daily but have had a few days that it was bad, Diarrhea, Headache, fever, body aches, fatigue.

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Fever blister which always requires anti-viral tablets to heal. I had shingles and ever since then I have this problem. If my immune system isnt as strong as it should be, this happens.

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: My fasting blood glucose is showing prediabetes, it could be diet and stress though.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Diagnosed with uveitis. CRP 4 times higher than normal. Another test re. Red blood cells sinking in test tube way above normal. Definitely have systemic inflammation but none of the normal inflammatory / autoimmune diseases have been detected.

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	Blood glucose abnormal	✓	·	✓
SD	Blood glucose increased	○	✓	○
SD	C-reactive protein increased	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Food interaction	○	✓	○
SD	Glucose tolerance impaired	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	·	✓
SD	Oral herpes	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Red blood cell abnormality	✓	·	✓
SD	Stress	✓	✓	✓
SD	Uveitis	✓	·	✓
SRO	Pruritus	✓	✓	✓

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