YE8-15850-36936

4 vaccinations 12 coded responses 51 check-ins 12 free-text entries 0 call cases

Sex: Male
Age at first dose: 21-25
ZIP prefix: 275 / NC
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just sore where I got the shot - a bit more than a typical shot but nothing major

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chapped lips, Panic attack — Feeling: Good · Site: Pain

Free text: Chapped lips (maybe unrelated); small panic attack (likely unrelated)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Yesterday afternoon I was extremely tired and had a headache. This was after I did the check in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Insomnia — Feeling: Good

Free text: Tired but from lack of sleep not related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Tired is completely unrelated to the vaccine. I just had a lot of homework.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Dose 3 — Moderna
2021-11-13
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Just got the shot so nothing yet

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Insomnia, Oropharyngeal discomfort — Feeling: Good · Fatigue or tiredness

Free text: Slightly off throat but only in the morning. Extremely tired but could also be lack of sleep

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Tired is just from lack of sleep

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Good · Fatigue or tiredness

Free text: Seemed like slightly more sweating than normal but might just be the weather

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Tired due to lack of sleep

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-14
Dose 4 — Moderna
2022-09-18
Survey response — days 1–6 daily, dose 4
MedDRA: Dyspnoea exertional — Feeling: Good

Free text: A bit out of breath climbing but likely from the N95

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-01	Moderna
3	2021-11-13	Moderna	No
4	2022-09-14	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Just sore where I got the shot - a bit more than a typical shot but nothing major

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Chapped lips (maybe unrelated); small panic attack (likely unrelated)

2021-03-07

Systemic reaction (other): Yesterday afternoon I was extremely tired and had a headache. This was after I did the check in.

2021-03-11

Systemic reaction (other): Tired but from lack of sleep not related to the vaccine.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Weakness

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Tired is completely unrelated to the vaccine. I just had a lot of homework.

Release 10 — day 0, dose 3

2021-11-13

Systemic reaction (other): Just got the shot so nothing yet

Release 10 — days 1–6 daily, dose 3

2021-11-16

Systemic reaction (other): Slightly off throat but only in the morning. Extremely tired but could also be lack of sleep

2021-11-17

Systemic reaction (other): Tired is just from lack of sleep

2021-11-18

Systemic reaction (other): Seemed like slightly more sweating than normal but might just be the weather

2021-11-19

Systemic reaction (other): Tired due to lack of sleep

Release 12 — days 1–6 daily, dose 4

2022-09-18

Systemic reaction (other): A bit out of breath climbing but likely from the N95

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
SRO	Asthenia	✓	✓	✓
SRO	Chapped lips	✓	✓	✓
SRO	Dyspnoea exertional	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Oropharyngeal discomfort	·	·	✓
SRO	Panic attack	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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