3RE-22138-36681

4 vaccinations 5 coded responses 41 check-ins 5 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 236 / VA
Registered: 2021-02-18

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

2021-02-17
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Mild yet noticeably Swollen lymph nodes in armpit of arm where injection was made.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Injection site pain, Pain — Feeling: Good · Site: Itching

Free text: This data doesnt include my responses to the days just after the shot. After the shot I had pain at the injection site, aches in my joints and headaches that came and went. All for 2 days after the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: Has seemed hard to get a full breath in the past week or so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-11-12
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-13
Survey response — 6 months, dose 3
MedDRA: Headache, Nasopharyngitis, Pre-existing disease, Rhinorrhoea — Feeling: Good

Free text: Runny nose and headaches mix of colds and allergies likely.

MedDRA releases: 2024-11 · check-in free text available
2022-09-07
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-17
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-21
Survey response — day 14, dose 4
MedDRA: Chest pain, Dyspnoea, Headache, Myalgia — Feeling: Fair

Free text: Muscle aches, headache, chest pain and feeling of shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-19	Moderna
3	2021-11-12	Moderna	No
4	2022-09-07	Pfizer-BioNTech	Flu

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-22

Systemic reaction (other): Mild yet noticeably Swollen lymph nodes in armpit of arm where injection was made.

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): This data doesnt include my responses to the days just after the shot. After the shot I had pain at the injection site, aches in my joints and headaches that came and went. All for 2 days after the shot.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Has seemed hard to get a full breath in the past week or so.

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: Runny nose and headaches mix of colds and allergies likely.

Release 12 — day 14, dose 4

2022-09-21

Symptoms: Muscle aches, headache, chest pain and feeling of shortness of breath

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	Chest pain	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓

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