6TK-12747-09434

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 956 / CA
Registered: 2021-01-23

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Acne — Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Weird milk pimples popping up. No rash just weird Milk pimples like I was 14 years ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Survey response — day 0, dose 2
MedDRA: Hunger, Increased appetite — Feeling: Good

Free text: Hunger! Extreme hunger. Been eating ever since I got home!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swelling Lymph Node above collar bone. Not painful at all though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Swelling Lymph Node above Left Clavical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Supracervical lymph node swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Supraclavicular Lymph Node Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swelling Left Supra Clavical Lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue! Very weird fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Dizziness, Epistaxis, Fatigue, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tired, Head aches, constant dizziness, Nose Bleeds which Ive never had even when getting punched in the nose!!!! My wife is having the exact same symptoms since COVID vaccine including elevated red blood cell counts!!!!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-20	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Weird milk pimples popping up. No rash just weird Milk pimples like I was 14 years ago

Release 4 — day 0, dose 2

2021-02-20

Systemic reaction (other): Hunger! Extreme hunger. Been eating ever since I got home!

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Swelling Lymph Node above collar bone. Not painful at all though.

2021-02-24

Systemic reaction (other): Swelling Lymph Node above Left Clavical

2021-02-25

Systemic reaction (other): Supracervical lymph node swelling

2021-02-26

Systemic reaction (other): Supraclavicular Lymph Node Swelling

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): Swelling Left Supra Clavical Lymph node

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Fatigue! Very weird fatigue.

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Tired, Head aches, constant dizziness, Nose Bleeds which Ive never had even when getting punched in the nose!!!! My wife is having the exact same symptoms since COVID vaccine including elevated red blood cell counts!!!!

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	Epistaxis	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SRO	Acne	✓	✓	✓
SRO	Hunger	✓	·	✓
SRO	Increased appetite	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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