4HD-12682-30467

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 891 / NV
Registered: 2020-12-29

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

GYX-35295-38180 Child or adolescent in my care · Female · 2022-01-29

JVU-24874-29678 Child or adolescent in my care · Female · 2022-01-29

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Site: Pain

Free text: Metal taste in my mouth for the first 15 minutes of the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Paranasal sinus discomfort, Secretion discharge — Feeling: Good

Free text: Sinus/nasal pressure and some mucous discharge.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis, Paranasal sinus discomfort — Feeling: Good

Free text: Mucous and nasal pressure with dots of blood.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus discomfort, Secretion discharge — Feeling: Good

Free text: Mucous discharge with red dots of blood and nasal pressure. Mild symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — day 7, dose 1
MedDRA: Haemoptysis, Paranasal sinus discomfort, Secretion discharge — Feeling: Good · Fatigue or tiredness

Free text: Mild, sinus pressure with mucous and red blood dots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Pfizer-BioNTech
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Heart rate increased, Hypertension, Rhinorrhoea, Sputum discoloured — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: High heart rate and some pressure in my chest that comes and goes. Also, experiencing runny nose (clear to light yellow mucous). · Healthcare visit (other): Monitored for a week my high blood pressure that I didn't have before. All started after I received the 3rd dose of Pfizer booster shot.

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-11
Survey response — 3 months, dose 3
MedDRA: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Gamma-glutamyltransferase increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My liver labs came back with alarming numbers. GGT 449, ALT 174, AST 62, ALK Phos 132. I never had a history of liver problems and I don't drink or smoke.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-05-15
Survey response — 6 months, dose 3
MedDRA: Liver disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Liver condition even though I don't drink alcohol drinks, and/or consume drugs.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-29	Moderna
3	2021-11-12	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Metal taste in my mouth for the first 15 minutes of the injection.

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Sinus/nasal pressure and some mucous discharge.

2021-01-03

Systemic reaction (other): Mucous and nasal pressure with dots of blood.

2021-01-04

Systemic reaction (other): Mucous discharge with red dots of blood and nasal pressure. Mild symptoms.

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Mild, sinus pressure with mucous and red blood dots.

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: High heart rate and some pressure in my chest that comes and goes. Also, experiencing runny nose (clear to light yellow mucous).

Healthcare visit (other): Monitored for a week my high blood pressure that I didn't have before. All started after I received the 3rd dose of Pfizer booster shot.

Release 11 — 3 months, dose 3

2022-02-11

Symptoms: My liver labs came back with alarming numbers. GGT 449, ALT 174, AST 62, ALK Phos 132. I never had a history of liver problems and I don't drink or smoke.

Release 11 — 6 months, dose 3

2022-05-15

Symptoms: Liver condition even though I don't drink alcohol drinks, and/or consume drugs.

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	Hypertension	·	·	✓
SD	Alanine aminotransferase increased	·	·	✓
SD	Aspartate aminotransferase increased	·	·	✓
SD	Blood alkaline phosphatase increased	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Gamma-glutamyltransferase increased	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Liver disorder	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Discomfort	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Haemoptysis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rash erythematous	○	○	○
SRO	Secretion discharge	✓	✓	✓

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