699-16329-51889

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 365 / AL
Registered: 2021-08-18

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-08-17
Dose 1 — Moderna
2021-08-18
Registered in v-safe
2021-08-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-31
Survey response — day 14, dose 1
MedDRA: Axillary pain, Balance disorder, Dizziness, Headache, Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node on collar bone and pain under armpit (both on side of injection) 8 days after the injection. Also, on-and-off headaches at base of skull and slight feelings of light-headedness and feeling slightly off balance the past 6 days.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — day 21, dose 1
MedDRA: Dizziness, Feeling abnormal, Vertigo — Feeling: Good

Free text: Per last check-in with slight off-kilter/dizzy feeling, PCP prescribed a med for vertigo, but have yet to try it. Feeling seems to still be fairly present, but also possibly subsiding minutely on a daily basis.

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Dose 2 — Moderna
2021-09-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, Itching · Headache

Free text: Mildly swollen lymph node on collar bone near neck

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, Itching

Free text: Swollen lymph node on collar bone near neck.

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-09-20
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperaesthesia teeth, Lymphadenopathy, Stomatitis — Feeling: Good

Free text: Swollen lymph node near neck and collar bone as well irritation around back tooth on injection side/left side of mouth.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-05
Survey response — day 21, dose 2
MedDRA: Blepharospasm — Feeling: Good

Free text: Have had an eye twitch that occurred for 3 days on my injection side (Oct. 2-4, 2021), but has now subsided. Was nothing major.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — day 28, dose 2
MedDRA: Blepharospasm — Feeling: Good

Free text: I have experience a twitch in my eye on my injection side (left side) for roughly the last two weeks. But it is more of an inconvenience than worry and I would expect it will probably be gone within 1-2 weeks.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-14
Survey response — 3 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had a sore throat/sneezing/cough that lasted about 2.5 weeks. Was mild/moderate, mostly congestion. Recovered a week ago.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-15
Call 1 — Left Voicemail
2022-03-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-17	Moderna	No
2	2021-09-14	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-08-31

Symptoms: Swollen lymph node on collar bone and pain under armpit (both on side of injection) 8 days after the injection. Also, on-and-off headaches at base of skull and slight feelings of light-headedness and feeling slightly off balance the past 6 days.

Release 9 — day 21, dose 1

2021-09-07

Symptoms: Per last check-in with slight off-kilter/dizzy feeling, PCP prescribed a med for vertigo, but have yet to try it. Feeling seems to still be fairly present, but also possibly subsiding minutely on a daily basis.

Release 9 — days 1–6 daily, dose 2

2021-09-17

Systemic reaction (other): Mildly swollen lymph node on collar bone near neck

2021-09-18

Systemic reaction (other): Swollen lymph node on collar bone near neck.

2021-09-20

Systemic reaction (other): Swollen lymph node near neck and collar bone as well irritation around back tooth on injection side/left side of mouth.

Release 10 — day 21, dose 2

2021-10-05

Symptoms: Have had an eye twitch that occurred for 3 days on my injection side (Oct. 2-4, 2021), but has now subsided. Was nothing major.

Release 10 — day 28, dose 2

2021-10-12

Symptoms: I have experience a twitch in my eye on my injection side (left side) for roughly the last two weeks. But it is more of an inconvenience than worry and I would expect it will probably be gone within 1-2 weeks.

Release 10 — 3 months, dose 2

2021-12-14

Symptoms: Had a sore throat/sneezing/cough that lasted about 2.5 weeks. Was mild/moderate, mostly congestion. Recovered a week ago.

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	Axillary pain	✓	·	✓
SD	Balance disorder	✓	·	✓
SD	Blepharospasm	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	·	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	✓	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Vertigo	·	·	✓
SRO	Hyperaesthesia teeth	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Stomatitis	·	·	✓

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