YPC-21486-17601

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 770 / TX
Registered: 2021-02-09

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-18
Survey response — day 7, dose 1
MedDRA: Discomfort — Feeling: Poor · Be unable to work

Free text: I have a hard pain from my liver side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 14, dose 1
MedDRA: Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle pain and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Diarrhea

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Redness · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: I couldn't sleep well since I took the 2nd shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Joint pains, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Redness · Headache, Joint pains, Diarrhea · Be unable to do your normal daily activities

Free text: Still coughing more than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Joint pains, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 35, dose 2
MedDRA: Decreased appetite, Emergency care, Gastrointestinal disorder — Feeling: Poor · Be unable to work

Free text: I was in ER at ben tube hospital past weekend, looks i have a trouble with my Digestive, since 3 days I'm not eating any food at all , I feel I have a Blockage at my Small intestine i never have had such issue at my life .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 42, dose 2
MedDRA: Arthralgia, Asthenia, Cough, Diarrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Coughing, weakness , joints pain. Derrida

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Dyspnoea, Myalgia, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not sleep well, short breath while im sleeping and sometimes cut breathing. Joint pain and muscles. Also i start forgetting things .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-07
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Pulmonary pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain from both lungs sides , sometimes short breathing, most of the time i feel tired with joints pain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): No

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): I have a hard pain from my liver side

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Muscle pain and headache

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Coughing

2021-03-13

Systemic reaction (other): I couldn't sleep well since I took the 2nd shot

2021-03-15

Systemic reaction (other): Still coughing more than normal

Release 7 — day 35, dose 2

2021-04-13

Symptoms: I was in ER at ben tube hospital past weekend, looks i have a trouble with my Digestive, since 3 days I'm not eating any food at all , I feel I have a Blockage at my Small intestine i never have had such issue at my life .

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Coughing, weakness , joints pain. Derrida

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Not sleep well, short breath while im sleeping and sometimes cut breathing. Joint pain and muscles. Also i start forgetting things .

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Pain from both lungs sides , sometimes short breathing, most of the time i feel tired with joints pain

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Poor quality sleep	✓	✓	✓
SD	Pulmonary pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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