4E2-17674-44838

4 vaccinations 4 coded responses 33 check-ins 4 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 342 / FL
Registered: 2021-04-26

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

2021-03-25
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Dose 2 — Moderna
2021-04-26
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Cough, Paranasal sinus discomfort, Pyrexia, Self-medication, Sinusitis, Upper-airway cough syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection, low grade fever (1 day, treated with Motrin), sinus pressure, post nasal drip causing cough.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Muscle or body aches

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Fever · Muscle or body aches

Adult check-in
2021-11-11
Survey response — day 7, dose 3
MedDRA: Increased upper airway secretion, Rhinorrhoea, Taste disorder — Feeling: Good · Site: Redness, Itching

Free text: Last night I woke up in the middle of the night with a very running nose and a feeling as though I had a nose bleed. I did not of course but the amount of drainage both down my throat and out my nose seemed excessive and had a taste of a bloody nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-03
Survey response — 3 months, dose 3
MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Good

Free text: Sinus infection, treated by Dr. Home test negative for covid (2 times)

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Dose 4 — Moderna
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 28, dose 4
MedDRA: Blood pressure increased — Feeling: Fair

Free text: Blood pressure is up. Have appointment with PCP to review in two weeks

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-26	Moderna
3	2021-11-04	Moderna	No
4	2022-04-08	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Sinus infection, low grade fever (1 day, treated with Motrin), sinus pressure, post nasal drip causing cough.

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Last night I woke up in the middle of the night with a very running nose and a feeling as though I had a nose bleed. I did not of course but the amount of drainage both down my throat and out my nose seemed excessive and had a taste of a bloody nose cut off by CDC

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Sinus infection, treated by Dr. Home test negative for covid (2 times)

Release 11 — day 28, dose 4

2022-05-06

Symptoms: Blood pressure is up. Have appointment with PCP to review in two weeks

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	Blood pressure increased	·	·	✓
SD	Cough	✓	·	✓
SD	Paranasal sinus discomfort	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	·	✓
SD	Sinusitis	✓	·	✓
SD	Upper-airway cough syndrome	✓	·	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Taste disorder	·	·	✓

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