5US-11262-82264

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 230 / VA
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 14, dose 1
MedDRA: Headache, Rhinorrhoea — Feeling: Good

Free text: Occasional headaches and running nose. (I rarely get headaches even when I get sick)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Poor · Site: Pain, Redness, 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

Free text: Shivering

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: New red lump on my shoulder not at the injection site that is growing. Also a swollen lymph node In my left armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The rash and lump not at injection site is growing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Immunisation — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in the armpit to the same arm that received the shot. Pain started from day one of the second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair

Free text: More headaches. I rarely get headaches. 1-2 a year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: RSV

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-11-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Headache, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 24 hours Symptoms after the booster: Fever Chills Worst headache of my life Fatigue Right hip pain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-14

Systemic reaction (other): Dry cough

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Occasional headaches and running nose. (I rarely get headaches even when I get sick)

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Shivering

2021-02-06

Systemic reaction (other): New red lump on my shoulder not at the injection site that is growing. Also a swollen lymph node In my left armpit.

2021-02-07

Systemic reaction (other): The rash and lump not at injection site is growing.

2021-02-10

Systemic reaction (other): Pain in the armpit to the same arm that received the shot. Pain started from day one of the second shot.

Release 5 — day 35, dose 2

2021-03-11

Symptoms: More headaches. I rarely get headaches. 1-2 a year.

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: RSV

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: 24 hours Symptoms after the booster: Fever Chills Worst headache of my life Fatigue Right hip pain

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	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory syncytial virus infection	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Immunisation	○	✓	○
SRO	Lymphadenopathy	✓	✓	✓
SRO	Rash	✓	✓	✓

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