ZUT-16912-46591

4 vaccinations 13 coded responses 39 check-ins 13 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 039 / ME
Registered: 2021-03-25

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

2021-03-24
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness

Free text: Higher than normal heart rate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough has been a little worst these past two days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No strength in legs. All I can do to climb a flight of stairs. This since having Covid in Jan.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Muscular weakness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough better, still legs very week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still no strength in legs (since original illness)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 1
MedDRA: Cough, Muscular weakness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild cough. Leg weakness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Survey response — day 0, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Rapid pulse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing, better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath with activity

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 · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Nonspecific reaction, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Legs arent getting better and knees are getting worse. · Healthcare visit (other): PT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These are not new but since haven't covid

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-08
Call 1 — Left Voicemail
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-03
Survey response — day 28, dose 4
MedDRA: Nasopharyngitis — Feeling: Poor

Free text: My granddaughter shared her cold with me.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Poor

Adult check-in
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-04
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-10-26	Moderna	No
4	2022-04-04	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Higher than normal heart rate.

2021-03-26

Systemic reaction (other): Cough has been a little worst these past two days.

2021-03-27

Systemic reaction (other): No strength in legs. All I can do to climb a flight of stairs. This since having Covid in Jan.

2021-03-28

Systemic reaction (other): Cough better, still legs very week.

2021-03-29

Systemic reaction (other): Still no strength in legs (since original illness)

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Mild cough. Leg weakness.

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): Rapid pulse

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Coughing

2021-04-23

Systemic reaction (other): Coughing, better than yesterday

2021-04-25

Systemic reaction (other): Shortness of breath with activity

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Legs arent getting better and knees are getting worse.

Healthcare visit (other): PT

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): These are not new but since haven't covid

Release 11 — day 28, dose 4

2022-05-03

Symptoms: My granddaughter shared her cold with me.

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	Physiotherapy	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nonspecific reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pre-existing disease	·	·	✓

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