2Q3-42936-69081

3 vaccinations 13 coded responses 39 check-ins 13 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 983 / WA
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site pain, Pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Injection was around 2:30 PM PST yesterday. Soreness at the injection site started late in the evening. Was tired, but slept well and have been able to function today, but definitely feeling it in my upper arm today when trying to lift it and move it around.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: When getting in bed Monday and Tuesday after the injection, a bit dizzy when I first lie down, but then sleep well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — day 7, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Loose bowel movements yesterday; normal today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — day 14, dose 1
MedDRA: Epistaxis, Rhinorrhoea — Feeling: Good

Free text: No idea if related to the vaccination, but to let you know, over the past week had a nose bleed one morning, which is rare for me, a few days of nasal drainage, that may or may not be allergies/hay fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Good · Site: Pain · Diarrhea

Free text: Diarrhea last night a couple hours after submitting the update for yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — day 7, dose 2
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

Free text: Loose bowel movements. Not sure of associated with the vaccination or not, so listing here.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 14, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Some loose bowl movements over the past week. Not sure if related, but figured I'd let you know just the same.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Thought I may have caught something for a couple days, but I think it was more a case of increasing my fiber intake that week.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-12
Dose 3 — Moderna
Co-administered: Flu
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to work or attend school

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Headache, Joint stiffness, Muscle tightness, Neck pain, Self-medication — Feeling: Good

Free text: Much better today. Yesterday afternoon, took 800mg Ibuprofen. Released neck/shoulder tension/soreness & associated headache I've had since the booster. Able to work today without issue.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Good

Free text: Slight dizziness this morning when I got out of bed. Been fine since then.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 35, dose 3
MedDRA: Dizziness — Feeling: Good

Free text: Slight dizziness this morning at 4 AM and 7:30 AM. Mild here and there throughout the day. Drank some electrolytes to see if that would help.

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-11
Survey response — 3 months, dose 3
MedDRA: Adverse reaction, Patient isolation — Feeling: Good · Be unable to work or attend school

Free text: My wife tested positive on 12/24. We both had boosters, but her RA immune suppressant drugs seem to be doing their job. About a week later, we relaxed our isolation/mask wearing within the house. I ended up with light symptoms, but didn't test.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-14
Survey response — 12 months, dose 3
MedDRA: Emergency care, Iritis, Meningitis viral, SARS-CoV-2 test positive — 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, Emergency room or emergency department visit, Hospitalization

Free text: Went to ER & found I had Viral meningitis on 5/26/22. Tested positive for COVID-19 6/12/22. Given Paxlolid& Prednisone due to the meningitis already hitting me hard. That helped with recovery. Iritis 7/4/22.

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-09	Moderna
3	2021-11-12	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Injection was around 2:30 PM PST yesterday. Soreness at the injection site started late in the evening. Was tired, but slept well and have been able to function today, but definitely feeling it in my upper arm today when trying to lift it and move it around.

2021-01-13

Systemic reaction (other): When getting in bed Monday and Tuesday after the injection, a bit dizzy when I first lie down, but then sleep well.

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Loose bowel movements yesterday; normal today.

Release 2 — day 14, dose 1

2021-01-25

Symptoms: No idea if related to the vaccination, but to let you know, over the past week had a nose bleed one morning, which is rare for me, a few days of nasal drainage, that may or may not be allergies/hay fever.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Diarrhea last night a couple hours after submitting the update for yesterday.

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): Loose bowel movements. Not sure of associated with the vaccination or not, so listing here.

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Some loose bowl movements over the past week. Not sure if related, but figured I'd let you know just the same.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Thought I may have caught something for a couple days, but I think it was more a case of increasing my fiber intake that week.

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Much better today. Yesterday afternoon, took 800mg Ibuprofen. Released neck/shoulder tension/soreness & associated headache I've had since the booster. Able to work today without issue.

Release 10 — day 7, dose 3

2021-11-19

Systemic reaction (other): Slight dizziness this morning when I got out of bed. Been fine since then.

Release 10 — day 35, dose 3

2021-12-17

Symptoms: Slight dizziness this morning at 4 AM and 7:30 AM. Mild here and there throughout the day. Drank some electrolytes to see if that would help.

Release 11 — 3 months, dose 3

2022-02-11

Symptoms: My wife tested positive on 12/24. We both had boosters, but her RA immune suppressant drugs seem to be doing their job. About a week later, we relaxed our isolation/mask wearing within the house. I ended up with light symptoms, but didn't test.

Release 12 — 12 months, dose 3

2022-11-14

Symptoms: Went to ER & found I had Viral meningitis on 5/26/22. Tested positive for COVID-19 6/12/22. Given Paxlolid& Prednisone due to the meningitis already hitting me hard. That helped with recovery. Iritis 7/4/22.

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	Adverse reaction	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Emergency care	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Iritis	·	·	✓
SD	Meningitis viral	·	·	✓
SD	Patient isolation	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Unevaluable event	✓	·	✓
SRO	Arthralgia	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint stiffness	·	·	✓
SRO	Muscle tightness	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	·	·	✓

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