2XZ-30182-54076

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 801 / CO
Registered: 2021-01-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: mild discomfort in lymph nodes under arm where I had injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Survey response — day 14, dose 1
MedDRA: Body temperature increased, Injection site pruritus, Injection site rash, Injection site swelling, Pre-existing disease — Feeling: Good

Free text: rash, swelling and itching at injection site accompanied by higher temperature one week after injection - I take high blood pressure and heart meds which may have caused delay in symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 21, dose 1
MedDRA: Anxiety, Diarrhoea, Dizziness, Hot flush, Nausea, Paranasal sinus discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: nausea, hot flashes, diarrhea lasting 1/2 day, sinus pressure, dizziness, anxiety, however no fever (checked 2x daily) and no cough-occurred almost 3 weeks after 1st dose of vaccine so could be unrelated, may be foodborne illness or anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches

Free text: swellimg of lymph nodes in armpit on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 21, dose 2
MedDRA: Dry throat, Gout, Oropharyngeal pain, Pain in extremity, Pre-existing disease — Feeling: Fair

Free text: suspected gout attack (joint pain in foot) but have had this a couple times prior to vaccination as well, so likely umrelated/very dry throat during night leading to sore throat next day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 42, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: abdominal muscle pain near ribs but likely due to over-exercising (sit ups)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Heavy exposure to ultraviolet light, Injection site erythema, Polymorphic light eruption, Pre-existing disease — Feeling: Fair

Free text: I have had PMLE for past 10 years - recent sun exposure caused flare up and also reappearance of redness at injection site (not PMLE)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Dose 3 — Moderna
2022-02-05
Survey response — 12 months, dose 2
MedDRA: Dizziness, Headache, Night sweats, Rhinorrhoea, Sinus disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: sinus issues, dizziness, night sweats, runny nose, headache

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Survey response — 3 months, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: occasional swelling of lymph nodes under armpit

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Dizziness, Nasal congestion, Night sweats, Respiratory tract congestion, Rhinorrhoea, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: night sweats x 3 nights, vertigo, dizziness, stuffy runny nose, congestion - lasting about 10 days in early January 2022

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-12-08	Moderna	No

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): runny nose

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): mild discomfort in lymph nodes under arm where I had injection

Release 2 — day 14, dose 1

2021-01-20

Symptoms: rash, swelling and itching at injection site accompanied by higher temperature one week after injection - I take high blood pressure and heart meds which may have caused delay in symptoms

Release 2 — day 21, dose 1

2021-01-27

Symptoms: nausea, hot flashes, diarrhea lasting 1/2 day, sinus pressure, dizziness, anxiety, however no fever (checked 2x daily) and no cough-occurred almost 3 weeks after 1st dose of vaccine so could be unrelated, may be foodborne illness or anxiety

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): swellimg of lymph nodes in armpit on injection side

Release 4 — day 21, dose 2

2021-02-24

Symptoms: suspected gout attack (joint pain in foot) but have had this a couple times prior to vaccination as well, so likely umrelated/very dry throat during night leading to sore throat next day

Release 5 — day 42, dose 2

2021-03-17

Symptoms: abdominal muscle pain near ribs but likely due to over-exercising (sit ups)

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: I have had PMLE for past 10 years - recent sun exposure caused flare up and also reappearance of redness at injection site (not PMLE)

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: sinus issues, dizziness, night sweats, runny nose, headache

Release 11 — 3 months, dose 3

2022-03-09

Symptoms: occasional swelling of lymph nodes under armpit

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: night sweats x 3 nights, vertigo, dizziness, stuffy runny nose, congestion - lasting about 10 days in early January 2022

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	Anxiety	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry throat	✓	✓	✓
SD	Gout	✓	✓	✓
SD	Headache	·	·	✓
SD	Heavy exposure to ultraviolet light	✓	·	✓
SD	Hot flush	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Polymorphic light eruption	○	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Vertigo	·	·	✓
SRO	Lymph node pain	○	○	○
SRO	Lymphadenopathy	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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