ZH8-23315-94143

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

Sex: —
Age at first dose: 46-50
ZIP prefix: 447 / OH
Registered: 2021-04-28

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-28
Registered in v-safe
2021-04-28
Dose 1 — Moderna
2021-04-28
Survey response — day 0, dose 1
MedDRA: Flushing, Head discomfort — Feeling: Good · Fever

Free text: Slight flushed feeling, head pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrointestinal disorder — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Odd gastrointestinal sensations that come & go. Nothing bad though eating ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 21, dose 1
MedDRA: Pain — Feeling: Good

Free text: Had mild body aches for 2 days. Nothing serious.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-02
Dose 2 — Moderna
2021-06-02
Survey response — day 0, dose 2
MedDRA: Feeling hot, Flushing — Feeling: Good

Free text: Felt flushed after shot. Warm in my chest & face. Probably just adrenaline or nervousness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pollakiuria — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Frequent urination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-05
Survey response — days 1–6 daily, dose 2
MedDRA: Anger, Anxiety, Mental disorder — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Existential crisis, anger, anxiety, (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-09
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-23
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Pain, Palpitations, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unusual tiredness, dizziness, fatigue, body aches one night that went away, heart palpitations. Taking ibuprofen almost everyday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-02
Survey response — 3 months, dose 2
MedDRA: Cardiac discomfort, Dyspnoea, Fatigue, Gastric disorder, Headache, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches (and I never get headaches) fatigue, difficulty breathing, heart palpitations & discomfort, stomach issues.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-04
Dose 3 — Pfizer-BioNTech
2022-06-07
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Fatigue, Gastrointestinal disorder, Palpitations, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Trouble breathing, extremely tired, stomach issues & heart palpitations. Home test was negative for Covid.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Moderna
2	2021-06-02	Moderna
3	2021-12-04	Pfizer-BioNTech	No

Free text

Release 8 — day 0, dose 1

2021-04-28

Systemic reaction (other): Slight flushed feeling, head pressure

Release 8 — days 1–6 daily, dose 1

2021-04-29

Systemic reaction (other): Slight headache

2021-04-30

Systemic reaction (other): Odd gastrointestinal sensations that come & go. Nothing bad though eating ok.

Release 8 — day 21, dose 1

2021-05-19

Symptoms: Had mild body aches for 2 days. Nothing serious.

Release 8 — day 0, dose 2

2021-06-02

Systemic reaction (other): Felt flushed after shot. Warm in my chest & face. Probably just adrenaline or nervousness

Release 8 — days 1–6 daily, dose 2

2021-06-03

Systemic reaction (other): Frequent urination

2021-06-05

Systemic reaction (other): Existential crisis, anger, anxiety, (b)(6)

redacted (b)(6)

Release 9 — day 21, dose 2

2021-06-23

Symptoms: Unusual tiredness, dizziness, fatigue, body aches one night that went away, heart palpitations. Taking ibuprofen almost everyday.

Release 9 — 3 months, dose 2

2021-09-02

Symptoms: Headaches (and I never get headaches) fatigue, difficulty breathing, heart palpitations & discomfort, stomach issues.

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Trouble breathing, extremely tired, stomach issues & heart palpitations. Home test was negative for Covid.

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	Cardiac discomfort	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastric disorder	✓	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	·	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Anger	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Mental disorder	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓

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