YQD-22111-83975

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 693 / NE
Registered: 2021-02-13

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Survey response — day 0, dose 1
MedDRA: Dyspepsia — Feeling: Good

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling cold, Pyrexia, Self-medication — Feeling: Good · Fatigue or tiredness

Free text: Slight fever upon arising. Diminishing. Extremely cold temps probably mitigate that. Couple tylenol seem to solve.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: Still fatigued, but seems to be fading.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Good · Fever · Nausea

Free text: Burst of fever this afternoon. Possibly from being inside store wearing mask.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Survey response — day 0, dose 2
MedDRA: Self-medication — Feeling: Good · Headache

Free text: Good so far. Six hours post shot. Took a couple acetaminophen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Injection site is warm and slightly painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Muscle or body aches

Free text: Got wet moving snow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Good

Free text: Quest stomach. Loose stools.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Cough, Pre-existing disease, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, mostly non-productive. Sneezing. Not sure if allergy, pollen or smoke. No detectable fever.

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-13	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-13

Systemic reaction (other): Heartburn

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Slight fever upon arising. Diminishing. Extremely cold temps probably mitigate that. Couple tylenol seem to solve.

2021-02-17

Systemic reaction (other): Still fatigued, but seems to be fading.

2021-02-18

Systemic reaction (other): Burst of fever this afternoon. Possibly from being inside store wearing mask.

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): Good so far. Six hours post shot. Took a couple acetaminophen.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Injection site is warm and slightly painful.

2021-03-15

Systemic reaction (other): Got wet moving snow.

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Quest stomach. Loose stools.

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Diarrhea

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Cough, mostly non-productive. Sneezing. Not sure if allergy, pollen or smoke. No detectable fever.

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	Diarrhoea	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sneezing	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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