6XU-26830-14144

5 vaccinations 8 coded responses 51 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 460 / IN
Registered: 2021-01-02

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Survey response — day 21, dose 1
MedDRA: Back pain, Dizziness, Fatigue, Neck pain — Feeling: Fair

Free text: Light headedness, fatigue, neck and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Dose 2 — Moderna
2021-01-30
Survey response — day 0, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 35, dose 2
MedDRA: Anxiety, Brain fog, Dyspnoea, Fatigue, Feeling abnormal, Medical counselling, Musculoskeletal pain, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Harder to breathe in mornings, Apprehensiveness, anxious. Brain fogginess, fatigue, poorer comprehension. Neck pain, shoulder blade achiness. · Healthcare visit (other): Scheduled PCP Telephone call On 3/8/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-03
Call 1 — Left Voicemail
2021-07-31
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Dyspnoea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Shortness of breath, tightness in upper chest. Stress/echo normal though. · Healthcare visit (other): Cardiologist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Could Not Reach Participant
2021-08-10
Call 2 — Left Voicemail
2021-10-23
Dose 3 — Moderna
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Moderna
2022-05-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-21
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-12
Survey response — day 35, dose 4
MedDRA: Blood pressure increased, Hyperhidrosis, Pre-existing disease — Feeling: Fair

Free text: Sweating, elevated blood pressure . Could be my essential hypertension and hyperhydrosis due to humidity a d 81 F.

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Dose 5 — Moderna
2022-11-04
Survey response — 6 months, dose 4
MedDRA: Dyspnoea, Headache, Muscle spasms — Feeling: Fair

Free text: Headache, muscle spasms in neck, labored breathing at times

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — day 28, dose 5
MedDRA: Dyspnoea, Headache, Muscle spasms — Feeling: Fair

Free text: Headache, muscle spasms in neck, labored breathing

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-06
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-07
Survey response — 6 months, dose 5
MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna
3	2021-10-23	Moderna	No
4	2022-05-06	Moderna	No
5	2022-10-07	Moderna	No

Call center

3 call center cases

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

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-23

Symptoms: Light headedness, fatigue, neck and back pain

Release 3 — day 0, dose 2

2021-01-30

Systemic reaction (other): Sweating

Release 5 — day 35, dose 2

2021-03-06

Symptoms: Harder to breathe in mornings, Apprehensiveness, anxious. Brain fogginess, fatigue, poorer comprehension. Neck pain, shoulder blade achiness.

Healthcare visit (other): Scheduled PCP Telephone call On 3/8/21

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Shortness of breath, tightness in upper chest. Stress/echo normal though.

Healthcare visit (other): Cardiologist

Release 12 — day 35, dose 4

2022-06-12

Symptoms: Sweating, elevated blood pressure . Could be my essential hypertension and hyperhydrosis due to humidity a d 81 F.

Release 12 — 6 months, dose 4

2022-11-04

Symptoms: Headache, muscle spasms in neck, labored breathing at times

Release 12 — day 28, dose 5

2022-11-04

Symptoms: Headache, muscle spasms in neck, labored breathing

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	Anxiety	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Blood pressure increased	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	○
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Malaise	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓

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