Y9Y-76585-63766

2 vaccinations 10 coded responses 16 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Moderna
2021-02-23
Survey response — day 0, dose 1
MedDRA: Paranasal sinus discomfort, Tension headache — Feeling: Good

Free text: Temporal sinus tightness - could be due to windy weather & allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling

Free text: The injection site pain began about an hour after yesterday's checkin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site discomfort — Feeling: Good · Site: Pain

Free text: Injection site discomfort, not as bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: Nothing serious, just feeling some aches. Could even be weather related - rain predicted.

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: Adverse reaction — Feeling: Good · Headache

Free text: May be allergy related

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 · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: Minor aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: It's allergy season, so they mix with anything else.But I do not believe what I am dealing with is vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Dose 2 — Moderna
2021-03-30
Survey response — day 7, dose 2
MedDRA: Hypersensitivity, Pain, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Have allergies, bad this year again. Aches and pains randomly anywhere.

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

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Asthenia, COVID-19, Computerised tomogram abnormal, Dyspnoea, Emergency care, Exposure to SARS-CoV-2, Malaise, Pain in extremity, Pulmonary embolism, Pulmonary thrombosis, SARS-CoV-2 test positive, Ultrasound scan abnormal — Feeling: Good · Be unable to do your normal daily activities

Free text: I got COVID, 3 days of exposure not known until 2 days after.Positive home test. Wife in hospital 8/17 to 8/24. I went in 9/1. Shortness breathing, weak, malaise, sore legs and feet. CT Scan showed embolisms in both lungs, sonagram showed clots.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Survey response — 12 months, dose 2
MedDRA: Arthritis, COVID-19, Pre-existing disease — Feeling: Good

Free text: Thumbs arthritis increased because I couldn't take anti-inflammatory because I was on a blood thinner for the close I developed in Sept 2020 after getting COVID then.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-23

Systemic reaction (other): Temporal sinus tightness - could be due to windy weather & allergies

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): The injection site pain began about an hour after yesterday's checkin.

2021-02-25

Systemic reaction (other): Injection site discomfort, not as bad.

2021-02-26

Systemic reaction (other): Nothing serious, just feeling some aches. Could even be weather related - rain predicted.

2021-02-27

Systemic reaction (other): May be allergy related

2021-03-01

Systemic reaction (other): Minor aches

Release 5 — day 21, dose 1

2021-03-16

Symptoms: It's allergy season, so they mix with anything else.But I do not believe what I am dealing with is vaccine related.

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Have allergies, bad this year again. Aches and pains randomly anywhere.

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: I got COVID, 3 days of exposure not known until 2 days after.Positive home test. Wife in hospital 8/17 to 8/24. I went in 9/1. Shortness breathing, weak, malaise, sore legs and feet. CT Scan showed embolisms in both lungs, sonagram showed clots.

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: Thumbs arthritis increased because I couldn't take anti-inflammatory because I was on a blood thinner for the close I developed in Sept 2020 after getting COVID 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	Arthritis	·	·	✓
SD	Asthenia	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Malaise	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary embolism	·	·	✓
SD	Pulmonary thrombosis	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Ultrasound scan abnormal	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tension headache	✓	✓	✓

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