3C5-25092-07788

2 vaccinations 14 coded responses 24 check-ins 14 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 440 / OH
Registered: 2021-01-06

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

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
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Free text: Concentration off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention — Feeling: Good · Headache

Free text: Concentration off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — day 7, dose 1
MedDRA: Disturbance in attention — Feeling: Good · Chills, Headache, Fatigue or tiredness

Free text: Concentration is off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — day 14, dose 1
MedDRA: Chillblains, Cough, Headache, Nasal congestion, Pain, Respiratory tract congestion, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nasal / chest congestion with heavy coughing followed by strong headache. Body ache and chills. Little sleep. Combat with over counter medications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Survey response — day 0, dose 2
MedDRA: Injection site discomfort — Feeling: Good · Headache

Free text: No pain but soreness on injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Hard to focus/concentrate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Hard to concentrate.

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: Fair · Site: Swelling, Itching · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Concentration is off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · Headache

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: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue, Headache, Productive cough — Feeling: Fair

Free text: Frequent cough do to phlegm build up in back of throat and upper lung/esophagus. Still having headaches, at times severe. Breathing seems fine.? Some fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Cough, Disturbance in attention, Fatigue, Headache, Productive cough, Upper respiratory tract congestion — Feeling: Fair

Free text: Still having headaches with lack of focus. Coughing do to phlegm buildup in esophagus and upper respiratory area. Still some fatigue. Slight chest tightness.All this varies from time to time, except the headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 42, dose 2
MedDRA: Cough, Headache, Increased upper airway secretion — Feeling: Fair

Free text: Phlegm buildup in my esophagus causing coughing causing instant headaches which lasts for some time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Cough, Productive cough — Feeling: Good

Free text: Some coughing do to phlegm in upper esophagus track. Comes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Productive cough — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have been experiencing phlegm build up in the morning. Sometimes during day. Headaches when I cough hard. Not sure if all related to vaccines??Otherwise good. Thank you for contacting me.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Call 1 — Left Voicemail
2022-02-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Concentration off.

2021-01-10

Systemic reaction (other): Concentration off.

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Concentration is off.

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Nasal / chest congestion with heavy coughing followed by strong headache. Body ache and chills. Little sleep. Combat with over counter medications.

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): No pain but soreness on injection site.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Hard to focus/concentrate.

2021-02-05

Systemic reaction (other): Hard to concentrate.

2021-02-08

Systemic reaction (other): Concentration is off.

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Headaches

Release 5 — day 28, dose 2

2021-03-03

Symptoms: Frequent cough do to phlegm build up in back of throat and upper lung/esophagus. Still having headaches, at times severe. Breathing seems fine.? Some fatigue.

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Still having headaches with lack of focus. Coughing do to phlegm buildup in esophagus and upper respiratory area. Still some fatigue. Slight chest tightness.All this varies from time to time, except the headaches.

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Phlegm buildup in my esophagus causing coughing causing instant headaches which lasts for some time.

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Some coughing do to phlegm in upper esophagus track. Comes and goes.

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: I have been experiencing phlegm build up in the morning. Sometimes during day. Headaches when I cough hard. Not sure if all related to vaccines??Otherwise good. Thank you for contacting me.

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	Chest discomfort	✓	✓	✓
SD	Chillblains	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Increased upper airway secretion	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Upper respiratory tract congestion	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling abnormal	○	○	○
SRO	Injection site discomfort	✓	✓	✓

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