49T-28670-41383

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 080 / NJ
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: Fatigue, Malaise, Nausea, Pyrexia — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea

Free text: I feel like I have a fever, but my temperature has not gone above 98 degrees. I was a little nauseous and have some fatigue and malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Hypersensitivity, Pre-existing disease, Self-medication — Feeling: Good

Free text: Allergies. I was sick in January 2020, most likely had COVID. After, I developed allergies (hay fever like) ever since I recovered. Last week the allergies flaired really bad for the week despite using claritin daily and nasal spray and mucinex.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 21, dose 1
MedDRA: Hypersensitivity, Self-medication — Feeling: Good

Free text: The allergies have calmed down some. I stopped using mucinex but still need a daily claritin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Dose 2 — Moderna
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache — Feeling: Good · Site: Pain · Fever · Chills, Headache

Free text: I had chills last night from around 1:30 to 3:00 AM in the morning. I also had a mild headache in the morning which is still mildly present now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Pain in extremity — Feeling: Good · Diarrhea

Free text: I had diarrhea Friday morning into Saturday morning. But I am fine today, Sunday. My arm still hurt yesterday mildly,but that is fine today. There was no duly check in Saturday so I am combining Sat and Sun.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 42, dose 2
MedDRA: Injection site joint pain, Pain — Feeling: Good

Free text: The shoulder that received the injection still has a little soreness with certain motions when I strain to reach, like reaching for the seatbelt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Dose 3 — Moderna
2021-10-25
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-10
Survey response — 12 months, dose 3
MedDRA: COVID-19, Dysphonia, Fatigue, Headache, Malaise, Oropharyngeal pain, Pyrexia, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I caught COVID at the end of July. I was sick for about 5 days (sore throat, hoarse throat, headache, fever, sinus congestion, fatigue) and it took two full weeks for the congestion to clear up.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-09-10	Moderna	No

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): I feel like I have a fever, but my temperature has not gone above 98 degrees. I was a little nauseous and have some fatigue and malaise.

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Allergies. I was sick in January 2020, most likely had COVID. After, I developed allergies (hay fever like) ever since I recovered. Last week the allergies flaired really bad for the week despite using claritin daily and nasal spray and mucinex. cut off by CDC

Release 2 — day 21, dose 1

2021-01-27

Symptoms: The allergies have calmed down some. I stopped using mucinex but still need a daily claritin.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): I had chills last night from around 1:30 to 3:00 AM in the morning. I also had a mild headache in the morning which is still mildly present now.

2021-02-07

Systemic reaction (other): I had diarrhea Friday morning into Saturday morning. But I am fine today, Sunday. My arm still hurt yesterday mildly,but that is fine today. There was no duly check in Saturday so I am combining Sat and Sun.

Release 5 — day 42, dose 2

2021-03-17

Symptoms: The shoulder that received the injection still has a little soreness with certain motions when I strain to reach, like reaching for the seatbelt.

Release 12 — 12 months, dose 3

2022-09-10

Symptoms: I caught COVID at the end of July. I was sick for about 5 days (sore throat, hoarse throat, headache, fever, sinus congestion, fatigue) and it took two full weeks for the congestion to clear up.

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	Dysphonia	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Injection site joint pain	✓	✓	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinus congestion	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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