55J-29619-80871

4 vaccinations 12 coded responses 30 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 010 / MA
Registered: 2021-03-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Janssen/Johnson & Johnson
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Influenza, Myalgia, Nasopharyngitis, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I sometimes get sinus headaches or migraines but this seemed to come on early today (~ 12 hours after the vaccine) & was accompanied by symptoms similar to a bad head cold or the onset of flu. I would rate symptoms md to.moderare. the worst symptoms have eased since this morning w/additional rest, joint & muscle aches have mostly subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Fatigue or tiredness

Free text: Most symptoms have faded completely, have slight headache but very minor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Woke with a migraine but I don't think it is related to the vaccine, just incidental. I haven't had any significant related symptoms for a couple days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Seasonal allergy — Feeling: Fair · Headache

Free text: Headache likely due to seasonal allergies. No noticeable side-effects form vaccine for a few days now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Hypersensitivity, Paranasal sinus discomfort, Pre-existing disease, Sensitivity to weather change — Feeling: Fair · Headache

Free text: Slight headache & sinus pressure but I'm pretty certain it's due to the sudden weather change & warm up the last couple days & onset of seasonal allergies rather than dragging side effects of the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Headache, Paranasal sinus discomfort — Feeling: Fair · Headache

Free text: Mild headache, sinus pressure but it's very warm & dry here today, got to 70, so just early allergy symptoms...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 28, single dose
MedDRA: Unevaluable event — Feeling: Good

Free text: Just an increase in seasonal allergy symptoms with the weather flipping between mild & dry & chillier & damp. Haven't had any likely dude effects from vaccination since 2 or 3 days after the jab.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 1
Feeling: Poor

Adult check-in
2021-11-17
Dose 2 — Moderna
2022-03-04
Survey response — 12 months, dose 1
MedDRA: Hypothyroidism — Feeling: Good

Free text: Have developed mild hypothyroidism.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Dose 3 — Moderna
2022-10-26
Dose 4 — Pfizer-BioNTech
2022-10-27
Survey response — days 1–6 daily, dose 4
MedDRA: Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Slight sinus pressure but that could be from moderate ragweed pollen count

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — days 1–6 daily, dose 4
MedDRA: Headache, Paranasal sinus discomfort, Self-medication — Feeling: Good · Headache

Free text: Headache was bad early, took buffered aspirin aspirin & half dose of Benadryl for sinus pressure then slept a while longer & woke feeling much better

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-02
Survey response — day 7, dose 4
MedDRA: Migraine, Self-medication, Sinus headache — Feeling: Good · Headache

Free text: Headache was sinus & migraine, buffered aspirin, a 1/2 dose of benadryl & morerestcleared it. Not likely vac side effects

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-25
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

MedDRA releases: 2024-11
2023-04-26
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Janssen/Johnson & Johnson
2	2021-11-17	Moderna	No
3	2022-05-03	Moderna	No
4	2022-10-26	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): I sometimes get sinus headaches or migraines but this seemed to come on early today (~ 12 hours after the vaccine) & was accompanied by symptoms similar to a bad head cold or the onset of flu. I would rate symptoms md to.moderare. the worst symptoms have eased since this morning w/additional rest, joint & muscle aches have mostly subsided.

2021-03-06

Systemic reaction (other): Most symptoms have faded completely, have slight headache but very minor.

2021-03-08

Systemic reaction (other): Woke with a migraine but I don't think it is related to the vaccine, just incidental. I haven't had any significant related symptoms for a couple days.

2021-03-09

Systemic reaction (other): Headache likely due to seasonal allergies. No noticeable side-effects form vaccine for a few days now

2021-03-10

Systemic reaction (other): Slight headache & sinus pressure but I'm pretty certain it's due to the sudden weather change & warm up the last couple days & onset of seasonal allergies rather than dragging side effects of the vaccine.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Mild headache, sinus pressure but it's very warm & dry here today, got to 70, so just early allergy symptoms...

Release 6 — day 28, single dose

2021-04-01

Symptoms: Just an increase in seasonal allergy symptoms with the weather flipping between mild & dry & chillier & damp. Haven't had any likely dude effects from vaccination since 2 or 3 days after the jab.

Release 11 — 12 months, dose 1

2022-03-04

Symptoms: Have developed mild hypothyroidism.

Release 12 — days 1–6 daily, dose 4

2022-10-27

Systemic reaction (other): Slight sinus pressure but that could be from moderate ragweed pollen count

2022-10-28

Systemic reaction (other): Headache was bad early, took buffered aspirin aspirin & half dose of Benadryl for sinus pressure then slept a while longer & woke feeling much better

Release 12 — day 7, dose 4

2022-11-02

Systemic reaction (other): Headache was sinus & migraine, buffered aspirin, a 1/2 dose of benadryl & morerestcleared it. Not likely vac side effects

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	Hypothyroidism	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Sensitivity to weather change	✓	✓	✓
SRO	Sinus headache	·	·	✓

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