YFF-19139-20729

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Headache

Free text: Earlier today very slight pain at the injection site like a pinch gone now for the most part

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site pain — Feeling: Good · Headache

Free text: Slight pain at injection site when I press on it, otherwise no pain. Headache not as bad as yesterday. Not sure if it may be more allergy related than vaccine related. Front moved through the area the same day I received the vaccine and may be the cause of the headaches. Either way its better today than it was yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site pain — Feeling: Good · Headache

Free text: Slight headache, better than yesterday; very little pain today when I press on the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site pain — Feeling: Good

Free text: Headache gone for the most part; injection site soreness about gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Dizziness, Headache — Feeling: Good

Free text: Slightly woozy headednot severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Injection site pain, Nausea, Sleep disorder — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Injection site pain was bad last night; woke me up several times during the night; pain gone by the time I got up; only hurt when I pressed on the site: headache similar to what I experienced after the first shot; at the time I was unsure if it might have been weather/allergy related but since I have the same this time, I believe it is vaccine related; felt more tired after 2nd shot than first; slight nausea if I turned quickly; no worse this evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Dizziness, Injection site pain, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Headache

Free text: Chills and fever last night after going to bed; chills only lasted a few minutes; temperature was normal when I woke up this morning; injection site pain less today than yesterday; dizziness today when I move around or turn my head quickly; other than that, no issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Injection site pain — Feeling: Good

Free text: Injection site pain almost completely gone; only when I press on it there is a slight pain; headache gone now also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No symptoms to report today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No symptoms or conditions to report

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Earlier today very slight pain at the injection site like a pinch gone now for the most part

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Slight pain at injection site when I press on it, otherwise no pain. Headache not as bad as yesterday. Not sure if it may be more allergy related than vaccine related. Front moved through the area the same day I received the vaccine and may be the cause of the headaches. Either way its better today than it was yesterday.

2021-03-21

Systemic reaction (other): Slight headache, better than yesterday; very little pain today when I press on the injection site

2021-03-22

Systemic reaction (other): Headache gone for the most part; injection site soreness about gone

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Slightly woozy headednot severe

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Injection site pain was bad last night; woke me up several times during the night; pain gone by the time I got up; only hurt when I pressed on the site: headache similar to what I experienced after the first shot; at the time I was unsure if it might have been weather/allergy related but since I have the same this time, I believe it is vaccine related; felt more tired after 2nd shot than first; slight nausea if I turned quickly; no worse this evening

2021-04-17

Systemic reaction (other): Chills and fever last night after going to bed; chills only lasted a few minutes; temperature was normal when I woke up this morning; injection site pain less today than yesterday; dizziness today when I move around or turn my head quickly; other than that, no issues

2021-04-19

Systemic reaction (other): Injection site pain almost completely gone; only when I press on it there is a slight pain; headache gone now also

2021-04-20

Systemic reaction (other): No symptoms to report today

2021-04-21

Systemic reaction (other): None

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): No symptoms or conditions to report

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	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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