YRA-95363-07607

3 vaccinations 6 coded responses 28 check-ins 6 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 974 / OR
Registered: 2021-11-30

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

2021-04-24
Dose 1 — Janssen/Johnson & Johnson
2021-11-30
Registered in v-safe
2021-11-30
Dose 2 — Moderna
2021-11-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-12-02
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: Depression

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-12-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-21
Survey response — day 21, dose 2
MedDRA: Eye pain, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've been having frequent headaches (2-5 hours duration, every day sometimes AM sometimes PM sometimes both)They are all very similar taking place behind my eyes and the top part of my head.

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-01-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-01-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-03
Survey response — 3 months, dose 2
MedDRA: Brain fog, Lethargy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lethargy 8 on a scale 1=energetic - 10= Unable to move. Brain Fog 7 on a scale 1=sharp mind - 10= unable to follow conversation

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-06-28
Dose 3 — Moderna
2022-06-28
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2022-06-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-07-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-05
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-07-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-07-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-08-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-08-09
Survey response — day 42, dose 3
MedDRA: Asthenia, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Over the past few weeks I've had really low energy and headaches every day

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — 3 months, dose 3
MedDRA: Pulmonary congestion, Sleep disorder, Wheezing — Feeling: Fair

Free text: My lungs are congested, it's been going on for a couple of months initially it was a slight wheezing but not very bad. Now sometimes it's so loud that it wakes me up. I'm not coughing up anything.

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Survey response — 6 months, dose 3
MedDRA: Asthenia, Disturbance in attention, Erythema, Headache, Impaired work ability, Peripheral swelling, Skin irritation, Weight increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Low energy, trouble staying focused while working weight gain. Swelling in my feet, irritating red toes. Headache sober the past got

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Janssen/Johnson & Johnson	No
2	2021-11-30	Moderna	No
3	2022-06-28	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 2

2021-12-02

Systemic reaction (other): Depression

Release 10 — day 21, dose 2

2021-12-21

Symptoms: I've been having frequent headaches (2-5 hours duration, every day sometimes AM sometimes PM sometimes both)They are all very similar taking place behind my eyes and the top part of my head.

Release 11 — 3 months, dose 2

2022-03-03

Symptoms: Lethargy 8 on a scale 1=energetic - 10= Unable to move. Brain Fog 7 on a scale 1=sharp mind - 10= unable to follow conversation

Release 12 — day 42, dose 3

2022-08-09

Symptoms: Over the past few weeks I've had really low energy and headaches every day

Release 12 — 3 months, dose 3

2022-09-27

Symptoms: My lungs are congested, it's been going on for a couple of months initially it was a slight wheezing but not very bad. Now sometimes it's so loud that it wakes me up. I'm not coughing up anything.

Release 12 — 6 months, dose 3

2022-12-27

Symptoms: Low energy, trouble staying focused while working weight gain. Swelling in my feet, irritating red toes. Headache sober the past got

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	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Erythema	·	·	✓
SD	Eye pain	·	·	✓
SD	Headache	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Lethargy	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pulmonary congestion	·	·	✓
SD	Skin irritation	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Weight increased	·	·	✓
SD	Wheezing	·	·	✓
SRO	Depression	·	·	✓

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