6SV-14170-72590

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 995 / AK
Registered: 2021-03-16

Relationship: Self
Race: Asian
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

2021-03-13
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains

Free text: Got it on Saturday afternoon. Early morning Sunday I felt mild achy knees, and bit feverish - temperature was 97ish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Head discomfort, Hypertension, Pre-existing disease — Feeling: Fair · Headache

Free text: I have hypertension problem. Not sure if its the vaccine but my pressure is high. Head feeling stiff with ears warming up. Used to it, could be just work and daily stress.

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 · None

Adult check-in
2021-03-27
Survey response — day 14, dose 1
MedDRA: Dizziness, Headache — Feeling: Fair

Free text: Headache, more like stuffed headache, dizziness. Pressure is normal but head feels icky. This is after 2 weeks of initial vaccination. Not sure if its related but its coincidentally happening after few days of initial shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 21, dose 1
MedDRA: Feeling hot, Musculoskeletal stiffness, Oropharyngeal pain, Pain in jaw, Swelling — Feeling: Fair

Free text: Left side head has a stiffening feeling since past week. Now left side throat or under the jaw aches, feels warm internally, feels like little swollen as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Dose 2 — Moderna
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Headache, Nausea, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Left headache at back radiating around ears and jaw and neck, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 21, dose 2
MedDRA: Headache, Neck pain, Oropharyngeal pain, Pain in jaw — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Left head, jaw, neck and throat ache. Its persistent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 28, dose 2
MedDRA: Headache, Neck pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Left head and neck pains internally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 35, dose 2
MedDRA: Headache, Neck pain, Neuralgia, Oropharyngeal pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Left head neck and throat ache internally consistently after few days of second shot. Doc says it could be related to nerves but coincidentally it has been there since then.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-11	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Got it on Saturday afternoon. Early morning Sunday I felt mild achy knees, and bit feverish - temperature was 97ish

2021-03-19

Systemic reaction (other): I have hypertension problem. Not sure if its the vaccine but my pressure is high. Head feeling stiff with ears warming up. Used to it, could be just work and daily stress.

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Headache, more like stuffed headache, dizziness. Pressure is normal but head feels icky. This is after 2 weeks of initial vaccination. Not sure if its related but its coincidentally happening after few days of initial shot.

Release 6 — day 21, dose 1

2021-04-03

Symptoms: Left side head has a stiffening feeling since past week. Now left side throat or under the jaw aches, feels warm internally, feels like little swollen as well.

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Left headache at back radiating around ears and jaw and neck, nausea

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Left head, jaw, neck and throat ache. Its persistent.

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Left head and neck pains internally

Release 8 — day 35, dose 2

2021-05-16

Symptoms: Left head neck and throat ache internally consistently after few days of second shot. Doc says it could be related to nerves but coincidentally it has been there since then.

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	Dizziness	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neuralgia	✓	✓	○
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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