6RU-12030-29613

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 606 / IL
Registered: 2021-04-21

Relationship: Self
Race: Multiracial
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

2021-04-21
Registered in v-safe
2021-04-21
Dose 1 — Moderna
2021-04-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I'm not sure this qualifies as a symptom, but lately, I've been experiencing a dry throat In the evening, especially late.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Pre-existing disease, Seasonal allergy — Feeling: Good · Site: Pain · Muscle or body aches

Free text: I am dealing with a stuffy nose at the moment, but I'd attribute this more to my hayfever than the COVID.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: The headache is of the sinus variety, & therefore isn't related to COVID.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Muscle or body aches

Free text: The high tree pollen has my nose stuffing up, but I'm fine otherwise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: High tree pollen and humidity are responsible for the headache which is of the sinus variety.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-19
Dose 2 — Moderna
2021-05-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea

Free text: The diarrhea can most likely be be attributed to the cheese on my breakfast sandwich, given that I'm lactose intolerant, and therefore can only handle regular milk products in small doses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Seasonal allergy — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: The headache is of the sinus, and therefore can be attributed to my hay fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-26
Survey response — day 7, dose 2
MedDRA: Headache, Pre-existing disease, Pyrexia, Sinus headache — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Headache is of the sinus variety caused by my hay fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-19
Survey response — 12 months, dose 2
MedDRA: Hypertension, Incontinence, Lactose intolerance, Low density lipoprotein increased, Urinary tract discomfort — Feeling: Good

Free text: My health conditions are as follows: Incontinence (lately accompanied by uncomfortable urination, High blood pressure, Moderate to High ldl levels, And lactose intolerance.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-19	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): I'm not sure this qualifies as a symptom, but lately, I've been experiencing a dry throat In the evening, especially late.

2021-04-24

Systemic reaction (other): I am dealing with a stuffy nose at the moment, but I'd attribute this more to my hayfever than the COVID.

2021-04-25

Systemic reaction (other): The headache is of the sinus variety, & therefore isn't related to COVID.

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): The high tree pollen has my nose stuffing up, but I'm fine otherwise.

Release 8 — day 7, dose 1

2021-04-28

Systemic reaction (other): High tree pollen and humidity are responsible for the headache which is of the sinus variety.

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): The diarrhea can most likely be be attributed to the cheese on my breakfast sandwich, given that I'm lactose intolerant, and therefore can only handle regular milk products in small doses.

2021-05-24

Systemic reaction (other): The headache is of the sinus, and therefore can be attributed to my hay fever.

Release 8 — day 7, dose 2

2021-05-26

Systemic reaction (other): Headache is of the sinus variety caused by my hay fever.

Release 11 — 12 months, dose 2

2022-05-19

Symptoms: My health conditions are as follows: Incontinence (lately accompanied by uncomfortable urination, High blood pressure, Moderate to High ldl levels, And lactose intolerance.

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	Hypertension	·	·	✓
SD	Incontinence	·	·	✓
SD	Lactose intolerance	·	·	✓
SD	Low density lipoprotein increased	·	·	✓
SD	Urinary tract discomfort	·	·	✓
SRO	Dry throat	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	○
SRO	Seasonal allergy	✓	✓	✓
SRO	Sinus headache	·	·	✓

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