6RB-13402-10939

5 vaccinations 26 coded responses 40 check-ins 25 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-03-07

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

2021-03-04
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Medical counselling — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Mild to moderate Dizziness. Reported to PCP who advised to watch for any escalation. · Healthcare visit (other): Phone call & discussion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Nasopharyngitis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Dizziness still present. Mild to moderate. Body/head feels like I'm getting a cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Nasopharyngitis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Mild dizziness continues. Otherwise feels like impending cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Dizziness prevails. Usually mild, occasionally moderate or longer lasting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Dizziness, Influenza, Influenza like illness, Nasopharyngitis, Self-medication — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Dizziness remains mild to moderate. Resumed allergy meds and aspirin. Still feels like impending cold or flu.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 1
MedDRA: Arthritis, Dizziness, Medical counselling, Musculoskeletal stiffness, Nasopharyngitis, Pain, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Swelling of hands and stiffness similar to bad arthritis flareup.Mild to moderate dizziness persists with apparent linkage to positional change or rapid movement.Body aches diminished.Head still feels like an impending cold.Messages with PCP 2x.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 1
MedDRA: Arthritis, Medical counselling, Pre-existing disease — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Arthritis got pretty bad for a few days but today is reduced. · Healthcare visit (other): Drs said still possible immune response. Continuing to monitor and will act accordingly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 21, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Dose 2 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Influenza, Nasopharyngitis, Pre-existing disease — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Feels like full body arthritis. Feels like impending bad cold/flu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: All mild to moderate. Better than yesterday at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to work

Free text: Dizziness seems to have diminished today. Other symptoms diminished to predominantlymild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Rash — Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Mild occasional dizziness. New rash on back of right hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Office visit, Rash — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash of tiny red dots on left foot and left hand. Initially mistaken for athlete's foot but unresponsive to antifungals. Seems to be improving with corticosteroid ointment... or possibly just time... (?) · Healthcare visit (other): In person visits with podiatrist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Rash on left foot has returned. Possibly heat related? I have not yet seen my foot Dr about it...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Easily fatigued.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Dose 3 — Moderna
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: First 2 days the same dizziness as I had with 1st shot (but not 2nd) and not so far today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: No dizziness yet today...

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: No dizziness today!

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: No dizziness again today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Survey response — day 28, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Mild unproductive cough.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Call 1 — Left Voicemail
2021-12-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Asthenia, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: 2 days of Sore throat, overall weakness

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-06
Dose 4 — Moderna
2022-04-18
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Survey response — day 14, dose 4
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to work or attend school

Free text: Fatigue seems to be getting worse. All I want to do is sleep...

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — day 21, dose 4
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and muscle/joint aches seem to be increasing.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 28, dose 4
MedDRA: Fatigue, Myalgia — Feeling: Fair · Be unable to work or attend school

Free text: Ongoing fatigue and muscle aches. Attended small event on 4/23 that reported a couple of positive tests on 4/25-6. Both partner and I tested negative on 5/2. No 'new' symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-18
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-06
Survey response — 3 months, dose 4
MedDRA: Photosensitivity reaction, Temperature intolerance — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sensitivity to direct sun plus high heat and high humidity seems to be significantly higher this Spring/Summer. (I guess that is not uncommon this year...)

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — 6 months, dose 4
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Ongoing fatigue. Lack of energy.

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Dose 5 — Pfizer-BioNTech
2023-04-06
Survey response — 12 months, dose 4
MedDRA: Office visit, Prostatic disorder, Urethritis noninfective, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-06
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-07
Call 1 — Requested Callback
2023-04-07
Callback requested for
3:00PM ET
2023-04-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-10
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-10-25	Moderna	No
4	2022-04-06	Moderna	No
5	2022-10-10	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Mild to moderate Dizziness. Reported to PCP who advised to watch for any escalation.

Healthcare visit (other): Phone call & discussion.

2021-03-08

Systemic reaction (other): Dizziness still present. Mild to moderate. Body/head feels like I'm getting a cold.

2021-03-09

Systemic reaction (other): Mild dizziness continues. Otherwise feels like impending cold.

2021-03-10

Systemic reaction (other): Dizziness prevails. Usually mild, occasionally moderate or longer lasting.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Dizziness remains mild to moderate. Resumed allergy meds and aspirin. Still feels like impending cold or flu.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Swelling of hands and stiffness similar to bad arthritis flareup.Mild to moderate dizziness persists with apparent linkage to positional change or rapid movement.Body aches diminished.Head still feels like an impending cold.Messages with PCP 2x.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: Arthritis got pretty bad for a few days but today is reduced.

Healthcare visit (other): Drs said still possible immune response. Continuing to monitor and will act accordingly.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Feels like full body arthritis. Feels like impending bad cold/flu

2021-04-03

Systemic reaction (other): All mild to moderate. Better than yesterday at this time.

2021-04-04

Systemic reaction (other): Dizziness seems to have diminished today. Other symptoms diminished to predominantlymild

2021-04-05

Systemic reaction (other): Mild occasional dizziness. New rash on back of right hand.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Rash of tiny red dots on left foot and left hand. Initially mistaken for athlete's foot but unresponsive to antifungals. Seems to be improving with corticosteroid ointment... or possibly just time... (?)

Healthcare visit (other): In person visits with podiatrist.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Rash on left foot has returned. Possibly heat related? I have not yet seen my foot Dr about it...

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Easily fatigued.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): First 2 days the same dizziness as I had with 1st shot (but not 2nd) and not so far today.

2021-10-30

Systemic reaction (other): No dizziness yet today...

2021-10-31

Systemic reaction (other): No dizziness today!

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): No dizziness again today.

Release 10 — day 28, dose 3

2021-11-22

Symptoms: Mild unproductive cough.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: 2 days of Sore throat, overall weakness

Release 11 — day 14, dose 4

2022-04-20

Symptoms: Fatigue seems to be getting worse. All I want to do is sleep...

Release 11 — day 21, dose 4

2022-04-27

Symptoms: Fatigue and muscle/joint aches seem to be increasing.

Release 11 — day 28, dose 4

2022-05-04

Symptoms: Ongoing fatigue and muscle aches. Attended small event on 4/23 that reported a couple of positive tests on 4/25-6. Both partner and I tested negative on 5/2. No 'new' symptoms.

Release 12 — 3 months, dose 4

2022-07-06

Symptoms: Sensitivity to direct sun plus high heat and high humidity seems to be significantly higher this Spring/Summer. (I guess that is not uncommon this year...)

Release 12 — 6 months, dose 4

2022-10-05

Symptoms: Ongoing fatigue. Lack of energy.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Photosensitivity reaction	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Prostatic disorder	·	·	✓
SD	Rash	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Temperature intolerance	·	·	✓
SD	Urethritis noninfective	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Influenza like illness	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	·	·	✓

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