4B4-31869-88328

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 923 / CA
Registered: 2021-04-12

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Moderna
2021-04-12
Survey response — day 0, dose 1
MedDRA: Cough, Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Stuffy, runny nose, sneezing and coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

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

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-10
Dose 2 — Moderna
2021-05-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: Mild chest dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 35, dose 2
MedDRA: Headache, Self-medication — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ive been experiencing more frequent headaches. I usually get 1 every week or 2, but that has increased to 2 to 3 a week. They are minor headaches aleviated with 2 to 4 ibuprofen. Not sure of exact cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — day 42, dose 2
MedDRA: Headache, Rhinorrhoea, Sneezing — Feeling: Good

Free text: My headaches are about the same as my last check--in report. I am experiencing more sneezing and runny nose in the last week. I may just be developing alergies at my age, but ive never had alergies before, so i dont know what is the cause for sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Survey response — 6 months, dose 2
MedDRA: Back pain, Musculoskeletal pain, Office visit, Spinal pain — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Upper back pain between shoulder blades along my spine. · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Moderna
2	2021-05-10	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Stuffy, runny nose, sneezing and coughing

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Mild chest dry cough

Release 9 — day 35, dose 2

2021-06-14

Symptoms: Ive been experiencing more frequent headaches. I usually get 1 every week or 2, but that has increased to 2 to 3 a week. They are minor headaches aleviated with 2 to 4 ibuprofen. Not sure of exact cause.

Release 9 — day 42, dose 2

2021-06-21

Symptoms: My headaches are about the same as my last check--in report. I am experiencing more sneezing and runny nose in the last week. I may just be developing alergies at my age, but ive never had alergies before, so i dont know what is the cause for sure. cut off by CDC

Release 10 — 6 months, dose 2

2021-11-08

Symptoms: Upper back pain between shoulder blades along my spine.

Healthcare visit (other): Chiropractor

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
HCVO	Office visit	·	·	✓
SD	Back pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal pain	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Spinal pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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