2VC-19451-04047

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 4 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 672 / KS
Registered: 2021-02-28

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

2021-02-27
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Diarrhea

Free text: Soreness in arm near injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Insomnia, Paranasal sinus discomfort — Feeling: Fair · Headache, Nausea

Free text: Massive sinus pressure and horrible headache. Couldnt get to sleep last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · 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: Swelling & discomfort under arm where I got shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have swollen and painful lymph node under right arm (same arm injection site)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Musculoskeletal stiffness, Pain, Swelling, Tenderness — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · 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

Free text: Swelling in the lymph nodes under my right arm (right arm where I received the shot) continues. It is tender to touch, achy, and swollen/stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — days 1–6 daily, 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)
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling in right underarm area is finally reduced at 6 days from the shot. Less sensitivity there also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 21, dose 2
MedDRA: Aura, Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine with new visual auras

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 28, dose 2
MedDRA: Fatigue, Migraine — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine headache and some slight fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Dry skin, Eczema, Skin irritation — Feeling: Good · 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: Worsening eczema and areas of scratchy dry skin.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
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)
2021-10-04
Call successful
Not applicable - Accidental Reporting
2021-10-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-12
Dose 3 — Moderna
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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

Adult check-in
2021-11-15
Report sent to call center — days 1–6 daily, 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 · 1 call case(s)
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Call 2 — Left Voicemail
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-11-18
Call 3 — Left Voicemail
2021-11-19
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Survey response — day 21, dose 3
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraine headache starting Thursday 12/2

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-11-12
Survey response — 12 months, dose 3
MedDRA: COVID-19, Headache, Migraine, Pneumonia, SARS-CoV-2 test positive — Feeling: Poor · 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: COVID positive in Sept 2022. Tested positive for over two weeks. Pneumonia. Have been experiencing greatly increased headaches and migraines since.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
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 · 1 call case(s)
2022-11-14
Call 1 — Left Voicemail
2022-11-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-04-01	Moderna
3	2021-11-12	Moderna	No

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Soreness in arm near injection site.

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Massive sinus pressure and horrible headache. Couldnt get to sleep last night.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Swelling & discomfort under arm where I got shot

2021-04-04

Systemic reaction (other): Still have swollen and painful lymph node under right arm (same arm injection site)

2021-04-05

Systemic reaction (other): Swelling in the lymph nodes under my right arm (right arm where I received the shot) continues. It is tender to touch, achy, and swollen/stiff

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Swelling in right underarm area is finally reduced at 6 days from the shot. Less sensitivity there also.

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Migraine with new visual auras

Release 8 — day 28, dose 2

2021-05-02

Symptoms: Migraine headache and some slight fatigue

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Worsening eczema and areas of scratchy dry skin.

Release 10 — day 21, dose 3

2021-12-05

Symptoms: Migraine headache starting Thursday 12/2

Release 12 — 12 months, dose 3

2022-11-12

Symptoms: COVID positive in Sept 2022. Tested positive for over two weeks. Pneumonia. Have been experiencing greatly increased headaches and migraines since.

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	Aura	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dry skin	·	·	✓
SD	Eczema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Migraine	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Skin irritation	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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