ZTP-25133-94367

4 vaccinations 16 coded responses 53 check-ins 14 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 934 / CA
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Had Covid one year ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Fatigue, Nasal congestion — Feeling: Good

Free text: Fatigue and sinus swelling.

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

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Chest pain, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and chest.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Brain fog, Fatigue — Feeling: Good

Free text: Fatigue and brain fog.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-27
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Therapeutic response unexpected — Feeling: Good

Free text: Feeling better today than in the last 3 months. No brain fog, congestion or fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Fatigue, Myalgia, Respiratory tract congestion — Feeling: Fair

Free text: Fatigue, congestion and muscle pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 3
MedDRA: Fatigue, Mobility decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue, stayed in bed 20 hours.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Dizziness, Fatigue, Respiratory tract congestion, Throat irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Itchy throat, congestion, fatigue, dizziness.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Pharyngeal enanthema, Rash, Tongue eruption — Feeling: Good

Free text: Painful bumps in throat and tongue.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Dose 4 — Pfizer-BioNTech
Co-administered: Shingles
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-10-26
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Symptoms subsided this morning. Feel 100% better today.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: Feel better than I have in over 6 months. No brain fog or fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-31
Survey response — day 7, dose 4
MedDRA: Adverse reaction — Feeling: Good

Free text: Back to normal.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Survey response — day 14, dose 4
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-23
Survey response — 3 months, dose 4
MedDRA: Fatigue, Myalgia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-26
Survey response — 6 months, dose 4
MedDRA: Brain fog, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-10-27	Pfizer-BioNTech	Flu
4	2022-10-24	Pfizer-BioNTech	Shingles

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Had Covid one year ago

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Fatigue and sinus swelling.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Sore throat and chest.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Fatigue and brain fog.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Feeling better today than in the last 3 months. No brain fog, congestion or fatigue.

2021-11-02

Systemic reaction (other): Congestion

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Fatigue, congestion and muscle pain

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Extreme fatigue, stayed in bed 20 hours.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Itchy throat, congestion, fatigue, dizziness.

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Painful bumps in throat and tongue.

Release 12 — days 1–6 daily, dose 4

2022-10-26

Systemic reaction (other): Symptoms subsided this morning. Feel 100% better today.

2022-10-27

Systemic reaction (other): Feel better than I have in over 6 months. No brain fog or fatigue.

Release 12 — day 7, dose 4

2022-10-31

Systemic reaction (other): Back to normal.

Release 12 — day 14, dose 4

2022-11-08

Symptoms: Extreme fatigue

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	Brain fog	·	·	✓
SD	Chest pain	✓	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pharyngeal enanthema	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Throat irritation	·	·	✓
SD	Tongue eruption	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Therapeutic response unexpected	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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