4Z7-22456-46246

4 vaccinations 13 coded responses 45 check-ins 13 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-02-16

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

2021-02-12
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — day 14, dose 1
MedDRA: COVID-19, Diarrhoea, Dyspnoea, Headache, Parosmia, Sensation of foreign body — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a strange group of Covid-type symptoms altered smell, headache, lump in throat, shortness of breath/trouble breathing, diarrhea .for one day, on Monday Feb 22. Felt better the next day. Other reasons most likely explained the symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus headache — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Sinus headache most likely

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 21, dose 2
MedDRA: Dizziness, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus headache and dizziness. I doubt Covid vaccine related, but who knows.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 35, dose 2
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 42, dose 2
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinusitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Chest pain, Fatigue, Palpitations, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart palpitations and chest pain. (Probably muscular in origin?).Worsening fatigue and sinus headaches (probably due to horrid allergy season)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Hypertension, Office visit, Stress — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stress-related hypertension, possible heart and prostate disease. Not vaccine related. · Healthcare visit (other): Doctors office last visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2021-09-17
Call 2 — Left Voicemail
2021-09-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-25
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Survey response — day 28, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Sinusitis — Feeling: Fair

Free text: Sore throat, sinusitis

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mold allergies (not Covid)

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
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)
2022-01-28
Call 1 — Left Voicemail
2022-03-31
Dose 4 — Moderna
2022-04-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Muscle or body aches, Abdominal pain

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-04-07
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2022-04-14
Survey response — day 14, dose 4
MedDRA: Headache — Feeling: Good

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — day 21, dose 4
MedDRA: Facial pain, Sinus headache — Feeling: Fair

Free text: Sinus headache and facial pain, not related to Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-12
Survey response — day 42, dose 4
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Seasonal allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-03-31
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-10-25	Moderna	No
4	2022-03-31	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-28

Symptoms: I had a strange group of Covid-type symptoms altered smell, headache, lump in throat, shortness of breath/trouble breathing, diarrhea .for one day, on Monday Feb 22. Felt better the next day. Other reasons most likely explained the symptoms.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Sinus headache most likely

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Sinus headache and dizziness. I doubt Covid vaccine related, but who knows.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Sinus infection

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Sinusitis

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Heart palpitations and chest pain. (Probably muscular in origin?).Worsening fatigue and sinus headaches (probably due to horrid allergy season)

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Stress-related hypertension, possible heart and prostate disease. Not vaccine related.

Healthcare visit (other): Doctors office last visit

Release 10 — day 28, dose 3

2021-11-22

Symptoms: Runny nose.

Release 10 — day 35, dose 3

2021-11-29

Symptoms: Sore throat, sinusitis

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Mold allergies (not Covid)

Release 11 — day 14, dose 4

2022-04-14

Symptoms: Headache

Release 11 — day 21, dose 4

2022-04-21

Symptoms: Sinus headache and facial pain, not related to Covid.

Release 11 — day 42, dose 4

2022-05-12

Symptoms: Seasonal allergies.

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	Chest pain	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Facial pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sensation of foreign body	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Stress	·	·	✓
SRO	Sinus headache	✓	✓	✓

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