Y7D-12208-58001

5 vaccinations 6 coded responses 32 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 038 / NH
Registered: 2021-03-04

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
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Muscle or body aches

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
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, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Chills, Fatigue, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Chills, low fever, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 2
MedDRA: Chills, Cough, Dizziness, Fatigue, Pyrexia, SARS-CoV-2 test — Feeling: Poor · Be unable to work, 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: Chills, dry cough, intermittent low fever, dizziness, fatigue · Healthcare visit (other): Covid 19 Rapid Result test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Survey response — day 28, dose 2
MedDRA: Chills, Cough, Fatigue, Hypersomnia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue, sleeping 10-12 hours every night; dry cough, coughing every 10-12 words when speaking; chills when tired in the evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 35, dose 2
MedDRA: Chills, Dizziness, Fatigue, SARS-CoV-2 test — Feeling: Good · Be unable to work, 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: Fatigue (sleeping 12+ hours per day), dizziness, chills ended on Monday 2 May. Since then, much less fatigue, otherwise normal. · Healthcare visit (other): Covid 19 rapid response test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2022-03-04
Dose 4 — Moderna
2022-04-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-01
Call 1 — Left Voicemail
2022-06-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-04
Survey response — 6 months, dose 4
MedDRA: Fatigue, Hypersomnia, Influenza like illness, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tested positive (rapid at-home test) for Covid two days after college reunion, on 17 June. Slept for three days, with flu-like symptoms, extreme fatigue for two weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Dose 5 — Pfizer-BioNTech
2022-10-31
Survey response — day 7, dose 5
MedDRA: Fatigue, Pain, Swelling — Feeling: Good

Free text: Swelling, pain, extreme fatigue on 19 October 2022

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-17
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-11-03	Moderna	No
4	2022-03-04	Moderna	No
5	2022-10-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-22	Unsuccessful
2021-04-30	Unsuccessful
2021-05-06	Unsuccessful

Free text

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Chills, low fever, fatigue

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Chills, dry cough, intermittent low fever, dizziness, fatigue

Healthcare visit (other): Covid 19 Rapid Result test

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Fatigue, sleeping 10-12 hours every night; dry cough, coughing every 10-12 words when speaking; chills when tired in the evening

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Fatigue (sleeping 12+ hours per day), dizziness, chills ended on Monday 2 May. Since then, much less fatigue, otherwise normal.

Healthcare visit (other): Covid 19 rapid response test

Release 12 — 6 months, dose 4

2022-09-04

Symptoms: Tested positive (rapid at-home test) for Covid two days after college reunion, on 17 June. Slept for three days, with flu-like symptoms, extreme fatigue for two weeks.

Release 12 — day 7, dose 5

2022-10-31

Systemic reaction (other): Swelling, pain, extreme fatigue on 19 October 2022

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	SARS-CoV-2 test	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Pain	·	·	✓
SRO	Swelling	·	·	✓

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