254-31843-76963

3 vaccinations 16 coded responses 33 check-ins 16 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 531 / WI
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Diarrhea

Free text: Numbness in bilateral hands last night in bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Survey response — day 0, dose 2
MedDRA: Cough — Feeling: Good

Free text: Slight tickle cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dysgeusia, Parosmia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tickle cough as well as smelling and tasting a foul taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Still have a cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Swelling, Itching · Headache

Free text: Cough!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 35, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Caught a head cold on Saturday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-02
Dose 3 — Moderna
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Tickle cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Musculoskeletal chest pain, Respiratory tract irritation — Feeling: Good

Free text: Dry tickle cough ribs sore from coughing

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Good

Free text: Cough persistent

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — day 7, dose 3
MedDRA: Productive cough, Sputum discoloured — Feeling: Good

Free text: Productive cough small amounts of yellow/green plem

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — day 14, dose 3
MedDRA: Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Productive cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — day 28, dose 3
MedDRA: Cough, Sneezing — Feeling: Fair

Free text: Cough and sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-06-02
Survey response — 6 months, dose 3
MedDRA: Hip arthroplasty, Physiotherapy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Total R hip replacement on 5/2/22 · Healthcare visit (other): PT past 3 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-06-03
Call 1 — Left Voicemail
2022-06-03
Call 1 — Left Voicemail
2022-12-02
Survey response — 12 months, dose 3
MedDRA: Cough, Nasopharyngitis — Feeling: Good

Free text: Head cold with cough

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-12-02	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Numbness in bilateral hands last night in bed

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): Slight tickle cough

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Tickle cough as well as smelling and tasting a foul taste

2021-02-25

Systemic reaction (other): Still have a cough

2021-02-26

Systemic reaction (other): Cough!

2021-02-27

Systemic reaction (other): Cough

2021-03-01

Systemic reaction (other): Cough

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Caught a head cold on Saturday

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Tickle cough

2021-12-07

Systemic reaction (other): Dry tickle cough ribs sore from coughing

2021-12-08

Systemic reaction (other): Cough persistent

Release 10 — day 7, dose 3

2021-12-09

Systemic reaction (other): Productive cough small amounts of yellow/green plem

Release 10 — day 14, dose 3

2021-12-16

Symptoms: Productive cough

Release 10 — day 28, dose 3

2021-12-30

Symptoms: Cough and sneezing

Release 11 — 6 months, dose 3

2022-06-02

Symptoms: Total R hip replacement on 5/2/22

Healthcare visit (other): PT past 3 weeks

Release 12 — 12 months, dose 3

2022-12-02

Symptoms: Head cold with cough

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	Cough	·	·	✓
SD	Hip arthroplasty	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Sneezing	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Musculoskeletal chest pain	·	·	✓
SRO	Parosmia	✓	✓	✓
SRO	Productive cough	·	·	✓
SRO	Respiratory tract irritation	·	·	✓
SRO	Sputum discoloured	·	·	✓

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