58L-21319-75536

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 846 / UT
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair · Nausea

Free text: Mild cold symptoms, such as sore throat, postnasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Mastication disorder, Pain in jaw — Feeling: Good · Nausea, Diarrhea

Free text: Jaw hurts on right side, hard to chew

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Myalgia — Feeling: Good

Free text: Diarrhea, muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Survey response — day 14, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Sore throat, mild dry coughing, only lasted a few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 2
MedDRA: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Good

Free text: I think I've had a mild cold, a bit of a sore throat and a mild dry cough and mild nose stuffiness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Cough, Throat irritation — Feeling: Good

Free text: Tickle in my throat leading to dry cough, mild, 2 days then went away.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: A mild cold that includes a sore throat, phlegm and some coughing.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: I had a really bad cold for a few weeks. Tested twice, negative for covid both times.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-23	Moderna

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Sore arm

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Mild cold symptoms, such as sore throat, postnasal drip

2021-03-27

Systemic reaction (other): Jaw hurts on right side, hard to chew

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Diarrhea, muscle aches

Release 8 — day 14, dose 2

2021-05-09

Symptoms: Sore throat, mild dry coughing, only lasted a few days

Release 8 — day 21, dose 2

2021-05-14

Symptoms: I think I've had a mild cold, a bit of a sore throat and a mild dry cough and mild nose stuffiness.

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Tickle in my throat leading to dry cough, mild, 2 days then went away.

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: A mild cold that includes a sore throat, phlegm and some coughing.

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: I had a really bad cold for a few weeks. Tested twice, negative for covid both times.

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	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	✓	·	✓
SRO	Mastication disorder	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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