2DR-77470-48208

2 vaccinations 14 coded responses 17 check-ins 14 free-text entries 2 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 179 / PA
Registered: 2021-01-22

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Survey response — day 0, dose 2
MedDRA: Balance disorder — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Offbalance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Chest discomfort, Cough, Dizziness, Migraine — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, lightheaded, migraine,occasional cough, chest pressure, stomach cramps are fairly moderate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Migraine, Night sweats — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, lightheaded, migraine, night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, lightheaded, site injection pain decreased rom in shld

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness, Migraine — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, migraine, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, lightheaded unsteady weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, lightheaded unsteady

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy unsteady

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 14, dose 2
MedDRA: Paraesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: New Tingling sensation in groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 21, dose 2
MedDRA: Paraesthesia, Sexual dysfunction — Feeling: Fair

Free text: Tingling sensation in groin / genitalia has progressed. Not a joke.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 28, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: Tingling in genitals remains unchanged.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: g I issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Dizziness, Headache, Tinnitus, Vertigo — Feeling: Poor · Be unable to work, 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: Vertigo, headaches, dizziness, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Sexual dysfunction, Tachycardia — 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: Occasional tachycardia, increased autonomic dysfunction, sexual health issue

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-11
Call 1 — Could Not Reach Participant
2022-02-16
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-10

Systemic reaction (other): Offbalance

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Dizzy, lightheaded, migraine,occasional cough, chest pressure, stomach cramps are fairly moderate.

2021-02-12

Systemic reaction (other): Dizziness, lightheaded, migraine, night sweats

2021-02-13

Systemic reaction (other): Dizzy, lightheaded, site injection pain decreased rom in shld

2021-02-14

Systemic reaction (other): Dizzy, migraine, weakness

2021-02-15

Systemic reaction (other): Dizzy, lightheaded unsteady weakness

2021-02-16

Systemic reaction (other): Dizzy, lightheaded unsteady

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Dizzy unsteady

Release 4 — day 14, dose 2

2021-02-24

Symptoms: New Tingling sensation in groin

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Tingling sensation in groin / genitalia has progressed. Not a joke.

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Tingling in genitals remains unchanged.

Release 6 — day 42, dose 2

2021-03-26

Symptoms: g I issues

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Vertigo, headaches, dizziness, tinnitus

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Occasional tachycardia, increased autonomic dysfunction, sexual health issue

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	Condition aggravated	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sexual dysfunction	○	✓	✓
SD	Tachycardia	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Night sweats	✓	✓	✓

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