6R9-85474-49056

3 vaccinations 9 coded responses 19 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 908 / CA
Registered: 2021-01-15

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

2021-01-12
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: It appears that the recently infected patients with covid19 will experience more severe symptoms with the vaccine. Itll be a good idea for them to wait a bit before getting the vaccine, in order not to scare off the public!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-26
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chest pain, Insomnia — Feeling: Good

Free text: For the last few nights I Wake up in the middle of the night with heart pain or joint pain. Difficult to fall asleep for a couple of hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 21, dose 1
MedDRA: Arthralgia, Chest pain, Insomnia, Muscle spasms, Muscular weakness — Feeling: Fair

Free text: Difficulty sleeping at night. Heart pain, hip joint Pain, muscle weakness and occasional cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Mild hip and knee pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Sore calf muscles for no good reason.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-19
Survey response — day 35, dose 2
MedDRA: Immunisation reaction, Skin burning sensation — Feeling: Good

Free text: Covid toes. A couple of them turned Purple/Red and slightly burning sensation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Angina pectoris, Emergency care, Gastrointestinal inflammation, Headache, Hyperchlorhydria, Neck pain, Pain, Sleep disorder, Unevaluable event — Feeling: Good · 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: Symptoms: Heart sharp pain radiating to my neck and brain, interrupting sleep. Went to ER and it turned out GI inflammation and acidity. · Healthcare visit (other): Medications dispensed

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 2 — Left Voicemail
2021-11-17
Dose 3 — Pfizer-BioNTech
2022-02-17
Survey response — 12 months, dose 2
MedDRA: Burning sensation, Gastrointestinal disorder, Pain, Palpitations, Sleep disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Digestive issue causing heart palpitations, burning sensation and pain. Interrupting good night sleep. · Healthcare visit (other): As mentioned above

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-18
Call 1 — Left Voicemail
2022-05-18
Survey response — 6 months, dose 3
MedDRA: Angina pectoris, Nervous system disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart pain and nerve issues.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-19
Call 1 — Left Voicemail
2022-05-19
Call 2 — Left Voicemail
2022-05-19
Call 1 — Left Voicemail
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-10	Moderna
3	2021-11-17	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): It appears that the recently infected patients with covid19 will experience more severe symptoms with the vaccine. Itll be a good idea for them to wait a bit before getting the vaccine, in order not to scare off the public!

Release 2 — day 14, dose 1

2021-01-26

Symptoms: For the last few nights I Wake up in the middle of the night with heart pain or joint pain. Difficult to fall asleep for a couple of hours.

Release 3 — day 21, dose 1

2021-02-02

Symptoms: Difficulty sleeping at night. Heart pain, hip joint Pain, muscle weakness and occasional cramps.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Mild hip and knee pain

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Sore calf muscles for no good reason.

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Covid toes. A couple of them turned Purple/Red and slightly burning sensation.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Heart sharp pain radiating to my neck and brain, interrupting sleep. Went to ER and it turned out GI inflammation and acidity.

Healthcare visit (other): Medications dispensed

Release 11 — 12 months, dose 2

2022-02-17

Symptoms: Digestive issue causing heart palpitations, burning sensation and pain. Interrupting good night sleep.

Healthcare visit (other): As mentioned above

Release 11 — 6 months, dose 3

2022-05-18

Symptoms: Heart pain and nerve issues.

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
HCVO	Unevaluable event	✓	·	✓
SD	Angina pectoris	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Emergency care	✓	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal inflammation	✓	·	✓
SD	Headache	✓	·	✓
SD	Hyperchlorhydria	✓	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neck pain	✓	·	✓
SD	Nervous system disorder	·	·	✓
SD	Pain	✓	·	✓
SD	Palpitations	·	·	✓
SD	Skin burning sensation	✓	✓	✓
SD	Sleep disorder	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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