ZXJ-23406-83813

3 vaccinations 13 coded responses 30 check-ins 13 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 313 / GA
Registered: 2021-04-25

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

2021-04-23
Dose 1 — Moderna
2021-04-25
Registered in v-safe
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Good · Fatigue or tiredness

Free text: Everything tastes the same

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia — Feeling: Good

Free text: Taste starting to come back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia — Feeling: Good

Free text: Taste has returned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Fatigue, Lethargy — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue, lethargic, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Dose 2 — Moderna
2021-05-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Myalgia — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Breathing difficulty from muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac flutter — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Felt like heart was fluttering last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac flutter, Dizziness — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Heart still flutters occasionally w/lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac flutter, Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still having heart flutters & lightheaded that started since vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac flutter, Chest pain, Dizziness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheaded, heart flutters and soreness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 7, dose 2
MedDRA: Palpitations — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Heart palpitations, making appt with family Dr Monday if continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 14, dose 2
MedDRA: Cardiac flutter, Chest discomfort — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Still having heart flutters, occasionally tightness in chest. Cannot afford to run to Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Moderna
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-09
Survey response — day 7, dose 3
MedDRA: Muscle spasms, Nausea — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe nausea & muscle spams

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Survey response — 6 months, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diarrhea that will not stop!

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-12-04
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna
3	2021-12-02	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Everything tastes the same

2021-04-27

Systemic reaction (other): Taste starting to come back

2021-04-28

Systemic reaction (other): Taste has returned

Release 8 — day 21, dose 1

2021-05-14

Symptoms: Extreme fatigue, lethargic, diarrhea

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): Breathing difficulty from muscle pain

2021-05-24

Systemic reaction (other): Felt like heart was fluttering last night

2021-05-25

Systemic reaction (other): Heart still flutters occasionally w/lightheaded

2021-05-26

Systemic reaction (other): Still having heart flutters & lightheaded that started since vaccination

2021-05-27

Systemic reaction (other): Lightheaded, heart flutters and soreness in chest

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Heart palpitations, making appt with family Dr Monday if continues

Release 8 — day 14, dose 2

2021-06-04

Symptoms: Still having heart flutters, occasionally tightness in chest. Cannot afford to run to Dr.

Release 10 — day 7, dose 3

2021-12-09

Systemic reaction (other): Severe nausea & muscle spams

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Diarrhea that will not stop!

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	Cardiac flutter	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lethargy	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Cardiac flutter	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Muscle spasms	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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