Z5L-14295-80224

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 481 / MI
Registered: 2021-03-27

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

2021-03-26
Dose 1 — Moderna
2021-03-27
Registered in v-safe
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence — Feeling: Good · Site: Pain · Nausea, Abdominal pain

Free text: Farting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Eructation, Flatulence — Feeling: Good · Site: Pain · Abdominal pain

Free text: Burping and farting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — day 7, dose 1
MedDRA: Exercise tolerance decreased — Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I said before that I was able to do normal activities but I have not been able to exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activities

Free text: My stomach is still upset and sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Memory impairment — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I had to drive to the grocery store today, when I came back to my car, I had left in running outside. I have been having a dry cough too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Sleep disorder — Feeling: Poor · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I get really tired at night, 6 hours before I normally go to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I have been feeling colder than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — day 14, dose 2
MedDRA: Cough — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have had a weird cough 3 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 28, dose 2
MedDRA: Cough, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have been taking a lot of naps since the vaccine and I have had a dry cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am still super tired. I have not recovered from the second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Body temperature increased, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: I had cold with a fever of 99 degrees.

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Farting

2021-03-31

Systemic reaction (other): Burping and farting

Release 6 — day 7, dose 1

2021-04-03

Systemic reaction (other): I said before that I was able to do normal activities but I have not been able to exercise.

Release 7 — day 14, dose 1

2021-04-09

Symptoms: My stomach is still upset and sore.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): I had to drive to the grocery store today, when I came back to my car, I had left in running outside. I have been having a dry cough too.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): I get really tired at night, 6 hours before I normally go to sleep

2021-04-28

Systemic reaction (other): I have been feeling colder than normal

Release 8 — day 14, dose 2

2021-05-08

Symptoms: I have had a weird cough 3 weeks

Release 8 — day 28, dose 2

2021-05-21

Symptoms: I have been taking a lot of naps since the vaccine and I have had a dry cough.

Release 8 — day 35, dose 2

2021-05-28

Symptoms: I am still super tired. I have not recovered from the second shot.

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: I had cold with a fever of 99 degrees.

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Eructation	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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