6KQ-29297-90894

2 vaccinations 10 coded responses 14 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 802 / CO
Registered: 2021-06-08

Relationship: Self
Race: White
Ethnicity: 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

2021-05-11
Dose 1 — Moderna
2021-06-08
Registered in v-safe
2021-06-08
Dose 2 — Moderna
2021-06-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: light vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work or attend school

Adult check-in
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Headache · Be unable to do your normal daily activities

Free text: Dizziness mod to severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-06-22
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle fatigue is sporadic, midday dizziness, increased head aches, and occasional to rare joint pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — day 21, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Be unable to work or attend school

Free text: Phantom injections in varying locations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — day 28, dose 2
MedDRA: Decreased appetite, Dizziness, Muscle fatigue, Nausea, Photophobia — Feeling: Poor · Be unable to work or attend school

Free text: The last few days experiencing dizziness, nausea, loss of appetite, muscle fatigue, increased light sensitivity Spots appeared on base of shaft around last check in, with no cause as have engaged in no initimate contact for over a year

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — day 35, dose 2
MedDRA: Arthralgia, Disturbance in attention, Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, sporadic headaches, joint n muscle pain then that area is fatigued, loss of concentration and focus

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-20
Survey response — day 42, dose 2
MedDRA: Arthralgia, Headache, Muscle fatigue, Photophobia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches, muscle fatique stayed consistent, joint pain vary by day, increased sensitivity to light visually

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Photophobia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Residuals still left over. Tiredness and light sensitivity are varied and sporadic, increased headaches

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — 6 months, dose 2
MedDRA: Asthenia, Headache, Pain, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Persistent headaches, sporadic weakness, random sharp pain in head and/or torso, ears ringing a few momths ago maybe once or twice now increased to every day to every other day

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-11	Moderna
2	2021-06-08	Moderna

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): light vertigo

2021-06-12

Systemic reaction (other): Dizziness mod to severe

2021-06-13

Systemic reaction (other): Dizziness

Release 9 — day 14, dose 2

2021-06-22

Symptoms: Muscle fatigue is sporadic, midday dizziness, increased head aches, and occasional to rare joint pains

Release 9 — day 21, dose 2

2021-06-29

Symptoms: Phantom injections in varying locations

Release 9 — day 28, dose 2

2021-07-06

Symptoms: The last few days experiencing dizziness, nausea, loss of appetite, muscle fatigue, increased light sensitivity Spots appeared on base of shaft around last check in, with no cause as have engaged in no initimate contact for over a year

Release 9 — day 35, dose 2

2021-07-16

Symptoms: Fatigue, sporadic headaches, joint n muscle pain then that area is fatigued, loss of concentration and focus

Release 9 — day 42, dose 2

2021-07-20

Symptoms: Headaches, muscle fatique stayed consistent, joint pain vary by day, increased sensitivity to light visually

Release 9 — 3 months, dose 2

2021-09-07

Symptoms: Residuals still left over. Tiredness and light sensitivity are varied and sporadic, increased headaches

Release 10 — 6 months, dose 2

2021-12-08

Symptoms: Persistent headaches, sporadic weakness, random sharp pain in head and/or torso, ears ringing a few momths ago maybe once or twice now increased to every day to every other day

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	Asthenia	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Disturbance in attention	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Muscle fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Tinnitus	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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