3JT-27008-67395

4 vaccinations 17 coded responses 47 check-ins 16 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 774 / TX
Registered: 2021-02-06

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Mild intermittent vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Mild intermittent vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Mild intermittent vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild intermittent vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Moderate intermittent vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 7, dose 1
MedDRA: Vertigo — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Moderate intermittent vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 14, dose 1
MedDRA: Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Worsening moderate vertigo which has improved in the last two days to mild and then minimal vertigo. No other symptoms I would possibly attribute to the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 35, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Resumption for a few days of vertigo and dizziness that had appeared earlier after vaccination. Not as bad now as it was then.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Two weeks of unrelenting migraine headaches, after months of only very isolated migraines. Possibly due to vaccination, but it started up too long after 2nd vaccination. Otherwise health doing well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-22
Call 2 — Could Not Reach Participant
2021-06-25
Call 3 — Left Voicemail
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Photophobia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eyes sensitive to light, mild

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Photophobia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eyes sensitive to light, mild

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Photophobia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eyes sensitive to light, mild

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Photophobia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate eye sensitivity to light

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

Adult check-in
2021-11-19
Survey response — day 21, dose 3
MedDRA: Headache, Photophobia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mild sensitivity of eyes to light and headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-05
Survey response — day 35, dose 3
MedDRA: Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever and fatiguefor last two days that has appeared to resolve

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-12
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-12
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-14
Survey response — 6 months, dose 4
MedDRA: COVID-19, Dizziness, Fatigue, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-17
Call 1 — Left Voicemail
2023-04-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-13	Moderna
3	2021-10-29	Moderna	No
4	2022-10-12	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Mild intermittent vertigo

2021-02-08

Systemic reaction (other): Mild intermittent vertigo

2021-02-09

Systemic reaction (other): Mild intermittent vertigo

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Mild intermittent vertigo

2021-02-12

Systemic reaction (other): Moderate intermittent vertigo

Release 4 — day 7, dose 1

2021-02-13

Systemic reaction (other): Moderate intermittent vertigo

Release 4 — day 14, dose 1

2021-02-20

Symptoms: Worsening moderate vertigo which has improved in the last two days to mild and then minimal vertigo. No other symptoms I would possibly attribute to the vaccination.

Release 7 — day 28, dose 2

2021-04-12

Symptoms: Headaches

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Resumption for a few days of vertigo and dizziness that had appeared earlier after vaccination. Not as bad now as it was then.

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Two weeks of unrelenting migraine headaches, after months of only very isolated migraines. Possibly due to vaccination, but it started up too long after 2nd vaccination. Otherwise health doing well.

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Eyes sensitive to light, mild

2021-11-03

Systemic reaction (other): Eyes sensitive to light, mild

2021-11-04

Systemic reaction (other): Eyes sensitive to light, mild

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Moderate eye sensitivity to light

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Mild sensitivity of eyes to light and headache

Release 10 — day 35, dose 3

2021-12-05

Symptoms: Fever and fatiguefor last two days that has appeared to resolve

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	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Photophobia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Photophobia	·	·	✓
SRO	Vertigo	✓	✓	✓

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