348-15336-22044

4 vaccinations 6 coded responses 50 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 606 / IL
Registered: 2021-03-16

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Strangely, opposite shoulder (sympathetic?) pain; much less than injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Migraine with aura, Ophthalmic migraine — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Shortly after yesterdays checkin, I experienced what I think is called an aura migraine without headache or ocular migraine in my right eye. I have never experienced this before except for a very short one (I didnt really understand) earlier that day while doing a light workout. The alarming second one happened a couple hours later while checking out at Costco and, with some resting/covering of the eye, resolved itself within about 40 minutes. Nothing since but havent done any activity today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Survey response — day 0, dose 2
MedDRA: Migraine with aura — Feeling: Fair · Site: Pain · Headache

Free text: Very slight hint of aura migraine without headache about 4 hours after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain · Headache

Free text: Some morning congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Moderna
Co-administered: Flu
2021-11-23
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-30
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Slightly swollen lymph nodes in neck

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-19
Dose 4 — Moderna
Co-administered: Flu
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-19
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Just a long lived cold (about 17 days) but no fever or cough - head/chest congestion.

MedDRA releases: 2024-11 · check-in free text available
2023-03-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-20	Moderna
3	2021-11-23	Moderna	Flu
4	2022-09-19	Moderna	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Strangely, opposite shoulder (sympathetic?) pain; much less than injection site.

2021-03-18

Systemic reaction (other): Shortly after yesterdays checkin, I experienced what I think is called an aura migraine without headache or ocular migraine in my right eye. I have never experienced this before except for a very short one (I didnt really understand) earlier that day while doing a light workout. The alarming second one happened a couple hours later while checking out at Costco and, with some resting/covering of the eye, resolved itself within about 40 minutes. Nothing since but havent done any activity today.

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): Very slight hint of aura migraine without headache about 4 hours after injection

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Some morning congestion

Release 10 — day 7, dose 3

2021-11-30

Systemic reaction (other): Slightly swollen lymph nodes in neck

Release 12 — 3 months, dose 4

2022-12-19

Symptoms: Just a long lived cold (about 17 days) but no fever or cough - head/chest congestion.

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	Nasopharyngitis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Migraine with aura	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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