3QL-34784-92176

5 vaccinations 11 coded responses 58 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 473 / IN
Registered: 2021-03-18

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

2021-03-16
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have a possible C-diff infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

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
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Dental operation, Vertigo — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Horrific vertigo post dental work last Wednesday. The first time I've ever had that reaction. Likely just an unrelated reaction to the anesthetic (septocaine and epinephrine), but I figured I'd log it just in case.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Mild cold symptoms here and there, likely unrelated.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Dose 3 — Pfizer-BioNTech
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Mild congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 21, dose 3
MedDRA: Fatigue, Respiratory tract congestion — Feeling: Fair

Free text: Mild congestion, minor fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-12
Survey response — day 35, dose 3
MedDRA: Nasal congestion — Feeling: Good

Free text: Ongoing nasal congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 42, dose 3
MedDRA: Nasal congestion — Feeling: Good

Free text: Continued nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-04
Dose 4 — Pfizer-BioNTech
2022-08-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-08-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-08-07
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Good · Site: Pain

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-25
Survey response — day 21, dose 4
MedDRA: Injection site pain — Feeling: Good

Free text: Got the monkeypox vaccine almost a week ago. Injection site still quite painful.

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-03
Survey response — 3 months, dose 4
MedDRA: Cough, Influenza, Respiratory syncytial virus infection, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, mild coughing. Standard RSV symptoms. Also had a *bad* flu.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Dose 5 — Pfizer-BioNTech
2022-11-23
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-29
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-27
Survey response — day 42, dose 5
MedDRA: Lethargy, Nasopharyngitis, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Minor cold. Post nasal drip, sore throat, lethargy.

MedDRA releases: 2024-11 · check-in free text available
2023-02-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-16
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-20	Moderna
3	2021-12-06	Pfizer-BioNTech	No
4	2022-08-04	Pfizer-BioNTech	No
5	2022-11-15	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): I have a possible C-diff infection.

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Horrific vertigo post dental work last Wednesday. The first time I've ever had that reaction. Likely just an unrelated reaction to the anesthetic (septocaine and epinephrine), but I figured I'd log it just in case.

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Mild cold symptoms here and there, likely unrelated.

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Mild congestion

Release 10 — day 21, dose 3

2021-12-27

Symptoms: Mild congestion, minor fatigue

Release 10 — day 35, dose 3

2022-01-12

Symptoms: Ongoing nasal congestion.

Release 10 — day 42, dose 3

2022-01-17

Symptoms: Continued nasal congestion

Release 12 — days 1–6 daily, dose 4

2022-08-07

Systemic reaction (other): Insomnia

Release 12 — day 21, dose 4

2022-08-25

Symptoms: Got the monkeypox vaccine almost a week ago. Injection site still quite painful.

Release 12 — 3 months, dose 4

2022-11-03

Symptoms: Congestion, mild coughing. Standard RSV symptoms. Also had a *bad* flu.

Release 12 — day 42, dose 5

2022-12-27

Symptoms: Minor cold. Post nasal drip, sore throat, lethargy.

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	Dental operation	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Influenza	·	·	✓
SD	Injection site pain	·	·	✓
SD	Lethargy	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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