3G6-12157-36664

3 vaccinations 9 coded responses 35 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 222 / VA
Registered: 2021-04-24

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Moderna
2021-04-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-01
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Right armpit is a bit sore. Jab side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-28
Dose 2 — Moderna
2021-05-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-06-04
Survey response — day 7, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Jab arm armpit soreness and lymph nodes swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — day 35, dose 2
MedDRA: Cough, Nasopharyngitis — Feeling: Good

Free text: I had a light cough for a few days with cold like symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Survey response — 3 months, dose 2
MedDRA: Fatigue, Nasopharyngitis, Pre-existing disease — Feeling: Good

Free text: Allergy. Fatigue. Cold symptoms that have been on and off for two months

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-17
Dose 3 — Moderna
2021-12-17
Health check-in — day 0, dose 3
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-31
Survey response — day 14, dose 3
MedDRA: Adverse reaction, Fatigue, Nasopharyngitis, Respiratory tract congestion, Sneezing — Feeling: Fair

Free text: Cold and allergy symptoms. Congestion, fatigue. Sneezing.

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — day 21, dose 3
MedDRA: Cough, Headache, Hypoaesthesia, Injection site pain, Nasopharyngitis, Pre-existing disease — Feeling: Fair

Free text: Cough. Cold and allergies. Jab site hurts a bit and had headaches. My left leg and arm were numb for a few days early in the week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-17
Survey response — 6 months, dose 3
MedDRA: Hypersensitivity, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion — Feeling: Good

Free text: More allergies and cold/ congestion than in years past.

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Survey response — 12 months, dose 3
MedDRA: Arthralgia, COVID-19, Fatigue, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Got Covid 10/5. Typical low fever and aches. After recovery had bad arthritis aches for a few weeks. Light fatigue.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Moderna
2	2021-05-28	Moderna
3	2021-12-17	Moderna	No

Free text

Release 8 — day 7, dose 1

2021-05-01

Systemic reaction (other): Right armpit is a bit sore. Jab side.

Release 8 — day 7, dose 2

2021-06-04

Systemic reaction (other): Jab arm armpit soreness and lymph nodes swollen

Release 9 — day 35, dose 2

2021-07-02

Symptoms: I had a light cough for a few days with cold like symptoms.

Release 9 — day 42, dose 2

2021-07-09

Symptoms: Cold symptoms

Release 9 — 3 months, dose 2

2021-08-29

Symptoms: Allergy. Fatigue. Cold symptoms that have been on and off for two months

Release 10 — day 14, dose 3

2021-12-31

Symptoms: Cold and allergy symptoms. Congestion, fatigue. Sneezing.

Release 10 — day 21, dose 3

2022-01-08

Symptoms: Cough. Cold and allergies. Jab site hurts a bit and had headaches. My left leg and arm were numb for a few days early in the week.

Release 12 — 6 months, dose 3

2022-06-17

Symptoms: More allergies and cold/ congestion than in years past.

Release 12 — 12 months, dose 3

2022-12-17

Symptoms: Got Covid 10/5. Typical low fever and aches. After recovery had bad arthritis aches for a few weeks. Light fatigue.

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	Arthralgia	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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