6QV-18770-57861

3 vaccinations 9 coded responses 23 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 910 / CA
Registered: 2021-02-24

Relationship: Self
Race: N/A
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

2021-02-20
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Id like to submit a strange observation. The next day after my shot, that would be Sunday the 21st, suddenly my eczema drastically improved. My skin condition is better than its been in quite a while. I dont know if its a coincident with getting the shot. My theory is that my immune system found something real to attack, and so its not attacking me anymore. What do you guys think?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: I still have not got my appointment for the second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Pre-existing condition improved — Feeling: Good

Free text: The improvement to my skin condition is continuing. My elbows are red but they are not flaky at all. Fingers are also doing well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: The improvement in my skin condition did not last. Pretty much back to normal now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Dose 2 — Moderna
2021-03-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
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

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Therapeutic response unexpected — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Like the first shot, my eczema cleared up significantly. Whats with that? You guys should check it out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Therapeutic response unexpected — Feeling: Good

Free text: Skin still nice and healthy. Nice side effect

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Therapeutic response unexpected — Feeling: Good

Free text: Skin condition is excellent again today. Someone should look into this

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Bad headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Moderna
2022-03-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-11-23
Survey response — 12 months, dose 3
MedDRA: Asthenia, COVID-19, Cough — Feeling: Good

Free text: I caught Covid when I went to Portugal, Spain, Italy, or France France this summer. My symptoms were very mild, low energy and a little cough.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-20	Moderna
3	2021-11-23	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Id like to submit a strange observation. The next day after my shot, that would be Sunday the 21st, suddenly my eczema drastically improved. My skin condition is better than its been in quite a while. I dont know if its a coincident with getting the shot. My theory is that my immune system found something real to attack, and so its not attacking me anymore. What do you guys think?

2021-02-25

Systemic reaction (other): I still have not got my appointment for the second shot

2021-02-26

Systemic reaction (other): The improvement to my skin condition is continuing. My elbows are red but they are not flaky at all. Fingers are also doing well

Release 5 — day 21, dose 1

2021-03-13

Symptoms: The improvement in my skin condition did not last. Pretty much back to normal now

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Like the first shot, my eczema cleared up significantly. Whats with that? You guys should check it out

2021-03-24

Systemic reaction (other): Skin still nice and healthy. Nice side effect

2021-03-25

Systemic reaction (other): Skin condition is excellent again today. Someone should look into this

Release 6 — day 14, dose 2

2021-04-03

Symptoms: Bad headache

Release 12 — 12 months, dose 3

2022-11-23

Symptoms: I caught Covid when I went to Portugal, Spain, Italy, or France France this summer. My symptoms were very mild, low energy and a little cough.

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	Asthenia	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Pre-existing condition improved	✓	✓	✓
SRO	Therapeutic response unexpected	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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