YPW-19989-34114

3 vaccinations 8 coded responses 35 check-ins 8 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 593 / MT
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Survey response — day 0, dose 1
MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Very sore arm around the shot area, making it difficult to lift the arm. Not impossible, but definitely limiting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Feeling of body temperature change, Injection site pain, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: So, after the second check in, it was bad, fever, chills, extreme cold, extreme hot, these lasted from Feb 5th, 12pm to Feb 6th 4am. Very good now. Just soreness around the injection area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Some of the feelings may be because I lessened the amount of ibuprofen and excedrin

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

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Fever · Chills

Free text: Broke the fever last night. It hit last night then was over. Did not take temp, the only reason I know I had a fever is cause I woke up sweaty. I have been doing the 6 and 4 with Motrin and Tylenol respectively. Along with vitamin c and multivitamin. The experience this time is way better than the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache

Free text: Kinda coming off the pain meds, head just hurts a tad.

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

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Dose 3 — Moderna
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Head cold

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Basic head cold, went away in 24hrs

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Survey response — 6 months, dose 3
MedDRA: Cough, Nasopharyngitis, Paranasal sinus hypersecretion — Feeling: Good

Free text: Head cold with cough and sinus drainage.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-12-09	Moderna	No

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Very sore arm around the shot area, making it difficult to lift the arm. Not impossible, but definitely limiting.

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): So, after the second check in, it was bad, fever, chills, extreme cold, extreme hot, these lasted from Feb 5th, 12pm to Feb 6th 4am. Very good now. Just soreness around the injection area.

2021-02-08

Systemic reaction (other): Some of the feelings may be because I lessened the amount of ibuprofen and excedrin

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Broke the fever last night. It hit last night then was over. Did not take temp, the only reason I know I had a fever is cause I woke up sweaty. I have been doing the 6 and 4 with Motrin and Tylenol respectively. Along with vitamin c and multivitamin. The experience this time is way better than the first shot.

2021-03-08

Systemic reaction (other): Kinda coming off the pain meds, head just hurts a tad.

Release 10 — day 21, dose 3

2021-12-30

Symptoms: Head cold

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Basic head cold, went away in 24hrs

Release 12 — 6 months, dose 3

2022-06-09

Symptoms: Head cold with cough and sinus drainage.

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	Cough	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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