6GP-73381-28184

3 vaccinations 10 coded responses 36 check-ins 10 free-text entries 2 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 740 / OK
Registered: 2021-03-16

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia — Feeling: Good

Free text: Felt a little weak yesterday, fell fine and normal today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Swollen lymph node under arm pit on injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: lymph node under arm of injection arm better but a small amount if noticeable pain. Seems to be getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Survey response — day 0, dose 2
MedDRA: Arthralgia, Constipation, Faeces hard, Pain in extremity, Rash — Feeling: Good · Site: Redness, Swelling · Joint pains, Rash, not including the immediate area around the injection site

Free text: very mild rash on hands. very mild joint pain in left index finger and ring finger. mild constipation/ hard stool.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: mild rash on hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: rash on birth hands. Spreading across hands and fingers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pain in extremity, Rash, Skin exfoliation — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Rash on hands is clearing. Red flaky skin on hands, somewhat mild pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash is clearing and almost completely healed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Survey response — 12 months, dose 2
MedDRA: Chills, Headache, Impaired work ability, Influenza like illness, Muscle spasms, Pyrexia, Viral infection — 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 · Emergency room or emergency department visit

Free text: Virus of unknown origin; felt like the flu. Legs cramped terribly, fever, chills, headache, incapable to work for 2 days.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
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

Emergency room or emergency department visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail
2022-04-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-08
Dose 3 — Moderna
2022-07-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-07-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-31
Survey response — day 21, dose 3
MedDRA: Ear infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Inner ear infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 1 — Left Voicemail
2022-08-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2022-07-08	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Felt a little weak yesterday, fell fine and normal today.

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Swollen lymph node under arm pit on injection arm.

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): lymph node under arm of injection arm better but a small amount if noticeable pain. Seems to be getting better.

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): very mild rash on hands. very mild joint pain in left index finger and ring finger. mild constipation/ hard stool.

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): mild rash on hands

2021-04-16

Systemic reaction (other): rash on birth hands. Spreading across hands and fingers.

2021-04-17

Systemic reaction (other): Rash on hands is clearing. Red flaky skin on hands, somewhat mild pain.

2021-04-19

Systemic reaction (other): Rash is clearing and almost completely healed.

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: Virus of unknown origin; felt like the flu. Legs cramped terribly, fever, chills, headache, incapable to work for 2 days.

Release 12 — day 21, dose 3

2022-07-31

Symptoms: Inner ear infection

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	Chills	·	·	✓
SD	Ear infection	·	·	✓
SD	Headache	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Pyrexia	·	·	✓
SD	Viral infection	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Faeces hard	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓

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