3J3-20786-96629

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 560 / MN
Registered: 2021-03-16

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

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
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Either side of neck below the jaw feels a bit sore, almost like my lymph nodes feel when I am getting sick. Mild ear aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Pain/aches is just a little soreness in my neck beneath my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Fatigue, Headache, Malaise, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Each evening around 4:30 pm I start feeling really tired, and by 7:30 pm I am not feeling well. I get a headache and my ears and neck area feel achy and sore. However, during the day I feel pretty good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-30
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
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Just a little out of sorts. Nothing preventing me from working.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Nausea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: 2 hrs after last night's check in, I felt mild nausea, headache, very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 7, dose 2
MedDRA: Discomfort, Ear discomfort, Ear pain, Feeling abnormal, Head discomfort, Headache, Neck pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Each day in the evening and early morning I have a headache and and my head and neck and ears feel kind of compressed and achy. During my busy day, I don't really notice it. As I relax more in the evening, I can tell that I'm a bit abnormal. No fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 14, dose 2
MedDRA: Asthenia, Head discomfort, Lymph node pain, Lymphadenopathy, Myalgia — Feeling: Good

Free text: As I have mentioned previously, my head feels squeezed left to right, my throat muscles/lymph glands feel kind of sore/swollen, and my energy is poor by the end of the workday. But no headache, really, no fever, no sniffles. Fine during the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Rash erythematous, Self-medication, Tenderness — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Strange red rash all along right arm following a possible lymphatic or arterial route up into my arm pit. Extremely painful to minor touch. Blood test showed no signs of common illnesses like lupus, Lyme's, Shingles, etc. Took antibiotic 5 da.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 3 — Moderna
2022-04-15
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: I contracted COVID March 25

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2022-04-12	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Either side of neck below the jaw feels a bit sore, almost like my lymph nodes feel when I am getting sick. Mild ear aches.

2021-03-19

Systemic reaction (other): Pain/aches is just a little soreness in my neck beneath my ears

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Each evening around 4:30 pm I start feeling really tired, and by 7:30 pm I am not feeling well. I get a headache and my ears and neck area feel achy and sore. However, during the day I feel pretty good.

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Just a little out of sorts. Nothing preventing me from working.

2021-04-15

Systemic reaction (other): 2 hrs after last night's check in, I felt mild nausea, headache, very tired.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Each day in the evening and early morning I have a headache and and my head and neck and ears feel kind of compressed and achy. During my busy day, I don't really notice it. As I relax more in the evening, I can tell that I'm a bit abnormal. No fever

Release 8 — day 14, dose 2

2021-04-29

Symptoms: As I have mentioned previously, my head feels squeezed left to right, my throat muscles/lymph glands feel kind of sore/swollen, and my energy is poor by the end of the workday. But no headache, really, no fever, no sniffles. Fine during the day.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Strange red rash all along right arm following a possible lymphatic or arterial route up into my arm pit. Extremely painful to minor touch. Blood test showed no signs of common illnesses like lupus, Lyme's, Shingles, etc. Took antibiotic 5 da.

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: I contracted COVID March 25

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	Asthenia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Head discomfort	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Tenderness	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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