2D7-13850-37799

3 vaccinations 10 coded responses 22 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 41-45
ZIP prefix: 605 / IL
Registered: 2021-02-08

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-04
Dose 1 — Moderna
2021-02-08
Registered in v-safe
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Congestion/Post Nasal Drip/Sore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Dizeness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 1
MedDRA: Arthralgia, Myalgia, Respiratory tract congestion — Feeling: Poor

Free text: Increased muscle and joint pain. Increased congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Diarrhea

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Paranasal sinus discomfort, Sinus headache — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sinus pressure headache and pain around my eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor

Free text: Had a fever of 102 for the two days following my second Medora injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · None

Adult check-in
2021-03-11
Survey response — day 7, dose 2
MedDRA: Respiratory tract congestion — Feeling: Poor · Diarrhea · Be unable to work

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-04-15
Survey response — day 42, dose 2
MedDRA: Ear pain, Headache, Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Poor

Free text: Congestion, sore throat, ear ache and sinus pressure with headache. I could just have a cold though right now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: An increase in my struggles with shortness of breath. · Healthcare visit (other): In person appointment with a Pulminologist, followed by a chest xray and a Pulmonary Capacity Test. My results were normal.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-11-09
Dose 3 — Moderna
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-11-11
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-11-09	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Sore throat

2021-02-09

Systemic reaction (other): Congestion/Post Nasal Drip/Sore Throat

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Sore throat

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): Dizeness

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Increased muscle and joint pain. Increased congestion.

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Sinus pressure headache and pain around my eyes.

2021-03-08

Systemic reaction (other): Had a fever of 102 for the two days following my second Medora injection.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Congestion

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Congestion, sore throat, ear ache and sinus pressure with headache. I could just have a cold though right now.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: An increase in my struggles with shortness of breath.

Healthcare visit (other): In person appointment with a Pulminologist, followed by a chest xray and a Pulmonary Capacity Test. My results were normal.

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	Office visit	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus headache	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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