6AE-32557-71152

3 vaccinations 8 coded responses 29 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 930 / CA
Registered: 2021-03-15

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

2021-02-15
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Dose 2 — Moderna
2021-03-15
Survey response — day 0, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Starting to feel cold-not chills yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pounding heart; not serious, but working hard

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good

Free text: Some coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 28, dose 2
MedDRA: Depression, Thinking abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Significantly cloudy thinking. Some depression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Memory impairment — Feeling: Good

Free text: Noted gaps in ability to remember. Im a paid researcher so am keenly aware of my own mental acuity. Normally only lasts a day or two, then memory rapidly sharpens. Noticeably. This is the only change.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

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

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

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

Adult check-in
2021-11-15
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Difficulty breathing-almost entirely allergy; nothing covid related methinks

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-27
Survey response — 12 months, dose 3
MedDRA: Dysphonia, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Head cold-no biggie, but congestion, runny nose, hoarse, the usual. Certainly NOT Covid

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna
3	2021-10-25	Moderna	No

Free text

Release 5 — day 0, dose 2

2021-03-15

Systemic reaction (other): Starting to feel cold-not chills yet

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Pounding heart; not serious, but working hard

2021-03-18

Systemic reaction (other): Some coughing

Release 7 — day 28, dose 2

2021-04-12

Symptoms: Significantly cloudy thinking. Some depression.

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Noted gaps in ability to remember. Im a paid researcher so am keenly aware of my own mental acuity. Normally only lasts a day or two, then memory rapidly sharpens. Noticeably. This is the only change.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Shortness of breath

Release 10 — day 21, dose 3

2021-11-15

Symptoms: Difficulty breathing-almost entirely allergy; nothing covid related methinks

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Head cold-no biggie, but congestion, runny nose, hoarse, the usual. Certainly NOT Covid

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	Depression	✓	✓	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Memory impairment	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Thinking abnormal	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Feeling cold	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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