3GZ-99826-63364

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 26-30
ZIP prefix: 787 / TX
Registered: 2021-04-06

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Survey response — day 0, dose 1
MedDRA: Anxiety, Dizziness — Feeling: Good · Site: Pain

Free text: I did feel a little light-headed and anxious on the way home from the vaccination. This could be attributed to other causes though.

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

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Insomnia, Malaise, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: General malaise. Feeling extremely run down. Had a horrible night the night of the vaccine- extreme chills and feverish, insomnia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Productive cough — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Extremely phlegm and stuffed up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Oropharyngeal pain, Productive cough — Feeling: Fair · Site: Pain · Headache

Free text: Allergy symptoms. Sore throat. Extreme throat phlegm and general crappy feeling from that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Lower respiratory tract infection, Respiratory tract congestion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work

Free text: The excessive phlegminess has culminated in a chest cold (coughing, extremely congested, short of breath and extreme amounts of throat phlegm).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Lower respiratory tract infection, Productive cough — Feeling: Poor

Free text: Chest cold. Heaviness in chest and short of breath. Very phlegmy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 7, dose 2
MedDRA: Lower respiratory tract infection, Malaise, Respiratory tract congestion — Feeling: Fair

Free text: Still have chest cold and congestion. Dont feel 100% yet but am better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 14, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme chest congestion. Lingering persistent cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-05	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-06

Systemic reaction (other): I did feel a little light-headed and anxious on the way home from the vaccination. This could be attributed to other causes though.

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): General malaise. Feeling extremely run down. Had a horrible night the night of the vaccine- extreme chills and feverish, insomnia.

2021-05-08

Systemic reaction (other): Extremely phlegm and stuffed up.

2021-05-09

Systemic reaction (other): Allergy symptoms. Sore throat. Extreme throat phlegm and general crappy feeling from that

2021-05-10

Systemic reaction (other): The excessive phlegminess has culminated in a chest cold (coughing, extremely congested, short of breath and extreme amounts of throat phlegm).

2021-05-11

Systemic reaction (other): Chest cold. Heaviness in chest and short of breath. Very phlegmy

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Still have chest cold and congestion. Dont feel 100% yet but am better than yesterday

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Extreme chest congestion. Lingering persistent cough.

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	Cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lower respiratory tract infection	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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