Z7B-14572-58636

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 207 / MD
Registered: 2021-03-18

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Survey response — days 1–6 daily, 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
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good

Free text: Slight chills I forgot to mention earlier but not now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness — Feeling: Fair · Site: Pain · Joint pains

Free text: Tightness around Neck area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Injection site a little tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm still a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: When does a male get pregnant? If I see the same question next time, I will not do the survey.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Tenderness — Feeling: Good

Free text: Little tender at POE

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Joint range of motion decreased — Feeling: Good

Free text: Shoulder range of motion is about 85%

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 2
MedDRA: Injected limb mobility decreased — Feeling: Good

Free text: Left arm where I got both shots range of motion is about 90%. I was told by my PT to try some stretching on the wall

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 28, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Good

Free text: Ive been working with a exercise strap to strengthen my shot arm. It seems to be trying to get better. Certain motions hurt. I may have it looked at.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 35, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Left arm where I got both shots seems to be getting better. Still a little pain when I put it in a certain position.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Slight chills I forgot to mention earlier but not now

2021-03-22

Systemic reaction (other): No

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Tightness around Neck area

2021-04-16

Systemic reaction (other): Injection site a little tender

2021-04-17

Systemic reaction (other): Arm still a little sore

2021-04-18

Systemic reaction (other): When does a male get pregnant? If I see the same question next time, I will not do the survey.

2021-04-19

Systemic reaction (other): Little tender at POE

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Shoulder range of motion is about 85%

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Left arm where I got both shots range of motion is about 90%. I was told by my PT to try some stretching on the wall

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Ive been working with a exercise strap to strengthen my shot arm. It seems to be trying to get better. Certain motions hurt. I may have it looked at.

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Left arm where I got both shots seems to be getting better. Still a little pain when I put it in a certain position.

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	Injected limb mobility decreased	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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