6H8-14820-46899

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Survey response — day 0, dose 2
MedDRA: Head discomfort, Headache, Musculoskeletal discomfort — Feeling: Fair · Site: Pain, Swelling

Free text: head/ neck feeling a little odd. pre-headache perhaps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-26
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 do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: congestion, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — day 14, dose 2
MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, runny nose, cough, sore throat, & fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 21, dose 2
MedDRA: Cough, Dysphagia, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat that made it difficult to swallow. Coughing that seemed to move deeper into my chest over a few days. Fatigue and probable low grade fever (although I did not take my temperature). I needed aspirin and cough syrup.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Headache, sore throat, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Productive cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, congestion, occasional cough to clear phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): loss of appetite

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Shortness of breath

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): head/ neck feeling a little odd. pre-headache perhaps.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): congestion, runny nose

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Headache, runny nose, cough, sore throat, & fatigue

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Sore throat that made it difficult to swallow. Coughing that seemed to move deeper into my chest over a few days. Fatigue and probable low grade fever (although I did not take my temperature). I needed aspirin and cough syrup.

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Headache, sore throat, congestion

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Fatigue, congestion, occasional cough to clear phlegm

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	Dysphagia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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