YLG-22561-47985

4 vaccinations 12 coded responses 39 check-ins 11 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 973 / OR
Registered: 2021-02-07

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

2021-02-05
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to work

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itching on hands and other places

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oxygen saturation decreased, Pre-existing disease — Feeling: Good · Headache

Free text: During exercise yesterday my oximeter O2 reading was 70, but i also forget to take asthma medications

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Left middle finger itches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Muscular weakness — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Weakness in limbs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Migraine, Sensory disturbance, Sensory loss — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Mild to moderate migraine headache & sensory symptoms today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Bone disorder, Joint noise — Feeling: Fair

Free text: My bones/joints feel creeky. I don't know if it's from the vaccine or the 35 pounds i lost in the last year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
Co-administered: yes
2021-10-27
Survey response — day 0, dose 3
MedDRA: Anxiety — Feeling: Good · Site: Pain

Free text: Anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Chest discomfort — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: tightness in the chest | lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Diarrhea

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat. (I caught a non-covid cold.)

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Dizziness, Headache — Feeling: Fair

Free text: Headaches & dizziness since I had the second booster on 4/13/22

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Survey response — day 28, dose 4
MedDRA: Dizziness, Dysgeusia, Headache — Feeling: Good

Free text: Dizziness, headaches, and for a few days (in the first part of May), every thing tasted sickly sweet including water and my own saliva.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-13
Survey response — 12 months, dose 4
MedDRA: Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-10-27	Moderna	Yes
4	2022-04-13	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Itching on hands and other places

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): During exercise yesterday my oximeter O2 reading was 70, but i also forget to take asthma medications

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Left middle finger itches

2021-03-09

Systemic reaction (other): Weakness in limbs

2021-03-11

Systemic reaction (other): Mild to moderate migraine headache & sensory symptoms today

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: My bones/joints feel creeky. I don't know if it's from the vaccine or the 35 pounds i lost in the last year.

Release 10 — day 0, dose 3

2021-10-27

Systemic reaction (other): Anxiety

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): tightness in the chest | lower back pain

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Sore throat. (I caught a non-covid cold.)

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Headaches & dizziness since I had the second booster on 4/13/22

Release 11 — day 28, dose 4

2022-05-16

Symptoms: Dizziness, headaches, and for a few days (in the first part of May), every thing tasted sickly sweet including water and my own saliva.

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	Bone disorder	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Joint noise	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Asthenia	✓	✓	○
SRO	Back pain	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Headache	○	✓	○
SRO	Migraine	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sensory disturbance	✓	·	✓
SRO	Sensory loss	○	✓	○

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