6GL-25758-42748

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Dizziness, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Sore throat - mild, dizziness - mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Head discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: frequent head-rushes, minor dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Gastric disorder — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains

Free text: heartburn - ongoing stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Bradyphrenia, Dizziness, Tremor — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Mild dizziness /slow to think, tremor in RH eye ...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Productive cough — Feeling: Fair

Free text: Fatigue, possibly due in part to extended hours. Coughing up a fair amount of hard to get rid of phlegm -randomly, usually in bed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 42, dose 2
MedDRA: Aphasia, Blepharospasm, Brain fog, Dizziness, Dry eye, Dyspepsia, Fatigue, Tinnitus, Weight increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sour stomach, heartburn. Continued tiredness, fog, lightheadedness, searching for words and names at times. Dry eyes, RH eye twitching, corrections are changing. Tinnitus seems worse . Gaining weight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Aphasia, Dizziness, Dyspepsia, Gastrointestinal disorder, Headache, Nausea, Thinking abnormal — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sour stomach & lower GI, nausea, slight headache, occasional minor dizziness, occasional trouble thinking clearly & loss for words . Unrelated mosquitoe & sider bites near left elbow causing swelling, itch & pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Bladder mass, Bladder operation — Feeling: Good · 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, Hospitalization

Free text: Bladder mass surgery

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
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

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Sore throat - mild, dizziness - mild

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): frequent head-rushes, minor dizziness

2021-04-11

Systemic reaction (other): heartburn - ongoing stomach

2021-04-13

Systemic reaction (other): Mild dizziness /slow to think, tremor in RH eye ...

Release 8 — day 35, dose 2

2021-05-16

Symptoms: Fatigue, possibly due in part to extended hours. Coughing up a fair amount of hard to get rid of phlegm -randomly, usually in bed.

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Sour stomach, heartburn. Continued tiredness, fog, lightheadedness, searching for words and names at times. Dry eyes, RH eye twitching, corrections are changing. Tinnitus seems worse . Gaining weight.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Sour stomach & lower GI, nausea, slight headache, occasional minor dizziness, occasional trouble thinking clearly & loss for words . Unrelated mosquitoe & sider bites near left elbow causing swelling, itch & pain.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Bladder mass surgery

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	Aphasia	✓	✓	✓
SD	Bladder mass	·	·	✓
SD	Bladder operation	·	·	✓
SD	Blepharospasm	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Thinking abnormal	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Bradyphrenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Gastric disorder	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Tremor	✓	✓	✓

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