Y92-46640-22927

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

Sex: Male
Age at first dose: 66+
ZIP prefix: 221 / VA
Registered: 2021-01-13

Relationship: Self
Race: White
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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication — Feeling: Good

Free text: I took 500mg of Tylenol yesterday, 1/13 even though I was in no pain, just being proactive, per my doctors recommendation. I do this about 2 hours after/NOT before my shot. I have since read differing opinions as to whether the Tylenol 500mg would affect the impact of the vaccine. I have not taken any pain reliever since then. Your thoughts?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair · Diarrhea, Abdominal pain

Free text: Abdominal cramps and a bit of diarrhea may be due to rich food eaten and sensitive stomach.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Erythema, Pruritus — Feeling: Fair · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Free text: Just got, for first time redness and itching, since receiving shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Specialist consultation — Feeling: Good

Free text: I still have a reddish/pink rash where my shot was administered. In a checkup with my dermatologist, I was told it was nothing to worry about, that this does happen sometimes, even 9 days after the shot. Otherwise, no problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Flatulence — Feeling: Fair

Free text: Stomach cramps, gas, and diarrhea. Dont know what caused stomach issues for couple days, could be a food reaction. NO temperature or breathing issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: Not feeling bad, but not as good as after first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Rash, not including the immediate area around the injection site

Free text: Maybe a little pink/redness on my left cheek

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Survey response — day 14, dose 2
MedDRA: Arthralgia, Injection site pain — Feeling: Good

Free text: Right shoulder where the shot was received, is tender, I feel a sharp pain in my right shoulder when I lay on it. Not sure if it is shot related, 11 days after vaccination, or did I pinch a nerve shoveling snow. Time will tell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good

Free text: Sore throat, runny nose, sneezing. Had Rapid Covid Test, and regular Covid test.? Both came back Covid NOT DETECTED

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): I took 500mg of Tylenol yesterday, 1/13 even though I was in no pain, just being proactive, per my doctors recommendation. I do this about 2 hours after/NOT before my shot. I have since read differing opinions as to whether the Tylenol 500mg would affect the impact of the vaccine. I have not taken any pain reliever since then. Your thoughts?

2021-01-19

Systemic reaction (other): Abdominal cramps and a bit of diarrhea may be due to rich food eaten and sensitive stomach.

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Just got, for first time redness and itching, since receiving shot.

Release 2 — day 14, dose 1

2021-01-27

Symptoms: I still have a reddish/pink rash where my shot was administered. In a checkup with my dermatologist, I was told it was nothing to worry about, that this does happen sometimes, even 9 days after the shot. Otherwise, no problems

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Stomach cramps, gas, and diarrhea. Dont know what caused stomach issues for couple days, could be a food reaction. NO temperature or breathing issues.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Not feeling bad, but not as good as after first shot.

2021-02-12

Systemic reaction (other): Maybe a little pink/redness on my left cheek

Release 4 — day 14, dose 2

2021-02-24

Symptoms: Right shoulder where the shot was received, is tender, I feel a sharp pain in my right shoulder when I lay on it. Not sure if it is shot related, 11 days after vaccination, or did I pinch a nerve shoveling snow. Time will tell.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Sore throat, runny nose, sneezing. Had Rapid Covid Test, and regular Covid test.? Both came back Covid NOT DETECTED

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Sneezing	✓	·	✓
SD	Specialist consultation	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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