6U8-14988-70421

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 891 / NV
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Survey response — day 0, dose 1
MedDRA: Injection site paraesthesia, Paraesthesia, Paraesthesia oral — Feeling: Good · Site: Pain

Free text: Generalized tingling: left arm and hand (where I had the injection), lips, scalp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Good · Site: Pain

Free text: The itching has gone away. I took a Benadryl last night, which has helped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itching off and on. Not sure if it from the vaccine or seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-12
Survey response — day 14, dose 1
MedDRA: Asthenia, Pain, Self-medication — Feeling: Good

Free text: I was weak and achy for one night, 3/5/21. I took some ibuprofen before going to bed. I woke up with no symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain

Free text: Generalized itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work

Free text: Generalized itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My asthma has flared up. May be due to it being spring. · Healthcare visit (other): Saw my general practitioner.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Asthma, Office visit, Pre-existing disease, Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma flare ups. · Healthcare visit (other): GP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-26

Systemic reaction (other): Generalized tingling: left arm and hand (where I had the injection), lips, scalp.

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): The itching has gone away. I took a Benadryl last night, which has helped.

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Itching off and on. Not sure if it from the vaccine or seasonal allergies.

Release 5 — day 14, dose 1

2021-03-12

Symptoms: I was weak and achy for one night, 3/5/21. I took some ibuprofen before going to bed. I woke up with no symptoms.

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Generalized itching

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Generalized itching

2021-04-01

Systemic reaction (other): My asthma has flared up. May be due to it being spring.

Healthcare visit (other): Saw my general practitioner.

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Asthma flare ups.

Healthcare visit (other): GP

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
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	○	✓	○
SD	Asthenia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Self-medication	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Injection site paraesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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