4HG-23649-15981

4 vaccinations 7 coded responses 48 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 992 / WA
Registered: 2021-01-26

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

2021-01-23
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Nasal discomfort, Rhinorrhoea, Sneezing — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Nasal membranes sensitive and enlarged, nasal drip, and excessive sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Runny nose, sneezing · Healthcare visit (other): COVID test (negative)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Joint pains

Free text: Still runny nose and sneezing, but diminished.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: May also result from immunotherapy treatment Im on for melanoma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Survey response — day 21, dose 1
MedDRA: Aspiration, Chills, Decreased appetite, Gastrooesophageal reflux disease, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Episode last night of gastric reflux with lung aspiration, followed by extreme chills and vomiting. Resumed solid food intake this evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
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, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-29
Call 1 — Left Voicemail
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Dose 3 — Moderna
2021-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-09-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-09-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-22
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: After my booster I've had 2 nasty colds but tested negative throughout

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Dose 4 — Moderna
2022-04-14
Health check-in — day 0, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 35, dose 4
MedDRA: Pneumonia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-09-21	Moderna	No
4	2022-04-14	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Nasal membranes sensitive and enlarged, nasal drip, and excessive sneezing

2021-01-28

Systemic reaction (other): Runny nose, sneezing

Healthcare visit (other): COVID test (negative)

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Still runny nose and sneezing, but diminished.

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): May also result from immunotherapy treatment Im on for melanoma

Release 4 — day 21, dose 1

2021-02-14

Symptoms: Episode last night of gastric reflux with lung aspiration, followed by extreme chills and vomiting. Resumed solid food intake this evening.

Release 11 — 6 months, dose 3

2022-03-22

Symptoms: After my booster I've had 2 nasty colds but tested negative throughout

Release 11 — day 35, dose 4

2022-05-19

Symptoms: Pneumonia

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	SARS-CoV-2 test negative	✓	✓	✓
SD	Aspiration	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pneumonia	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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