2BG-27651-86881

5 vaccinations 8 coded responses 25 check-ins 7 free-text entries 5 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 551 / MN
Registered: 2021-03-23

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

2021-03-14
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-04-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Respiratory syncytial virus infection, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, 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: I contracted a virus that was presumed to be RSV. It developed into bronchitis. I had two negative covid tests of the more sensitive variety during my illness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-13
Dose 3 — Moderna
2022-03-26
Dose 4 — Pfizer-BioNTech
2022-04-12
Survey response — 12 months, dose 2
MedDRA: Viral infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I have had a few viruses of unknown types. Not covid.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-29
Survey response — day 28, dose 4
MedDRA: Helicobacter gastritis, Illness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: H. Pylori infection and related illness

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-07
Survey response — day 42, dose 4
MedDRA: Influenza, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold/flu symptoms Runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-12
Dose 5 — Moderna
Co-administered: Flu
2022-10-22
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-26
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-02
Survey response — day 21, dose 5
MedDRA: Cough, Fatigue, Malaise, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid symptoms: sore throat, stuffy head, coughing, malaise, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Survey response — day 28, dose 5
MedDRA: Brain fog, Malaise, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid symptoms. Stuffy nose, sneezing, sore throat, malaise, fever, foggy thinking, bidy acges.

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-23
Survey response — day 42, dose 5
MedDRA: Asthenia, Basal cell carcinoma, Biopsy skin abnormal, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Biopsy from my neck revealed basal cell carcinoma. I also feel drained and have chronic fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-25
Call 1 — Requested Callback
2022-11-28
Callback requested for
04:30PM ET
2022-11-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-11
Survey response — 3 months, dose 5
MedDRA: Basal cell carcinoma, Skin lesion removal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-11
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-12
Call 1 — Left Voicemail
2023-04-12
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-12	Moderna
3	2021-11-13	Moderna	No
4	2022-03-26	Pfizer-BioNTech	No
5	2022-10-12	Moderna	Flu

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: I contracted a virus that was presumed to be RSV. It developed into bronchitis. I had two negative covid tests of the more sensitive variety during my illness.

Release 11 — 12 months, dose 2

2022-04-12

Symptoms: I have had a few viruses of unknown types. Not covid.

Release 11 — day 28, dose 4

2022-04-29

Symptoms: H. Pylori infection and related illness

Release 11 — day 42, dose 4

2022-05-07

Symptoms: Cold/flu symptoms Runny nose, sore throat

Release 12 — day 21, dose 5

2022-11-02

Symptoms: Covid symptoms: sore throat, stuffy head, coughing, malaise, exhaustion

Release 12 — day 28, dose 5

2022-11-11

Symptoms: Covid symptoms. Stuffy nose, sneezing, sore throat, malaise, fever, foggy thinking, bidy acges.

Release 12 — day 42, dose 5

2022-11-23

Symptoms: Biopsy from my neck revealed basal cell carcinoma. I also feel drained and have chronic 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	Asthenia	·	·	✓
SD	Basal cell carcinoma	·	·	✓
SD	Biopsy skin abnormal	·	·	✓
SD	Brain fog	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Helicobacter gastritis	·	·	✓
SD	Illness	·	·	✓
SD	Influenza	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Skin lesion removal	·	·	✓
SD	Sneezing	·	·	✓
SD	Viral infection	·	·	✓

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