ZHK-29773-33572

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 469 / IN
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling in the face especially the right side. I received the vaccine on the right side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Gait disturbance, Limb discomfort, Nasal congestion, Sinus congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Very hard to walk. Each step is heavy. Dizzy and slight nasal and sinus congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Muscle twitching — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Forgot to mention a cough and twitch in my nose and upper lip on the right side the day after my shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Muscle twitching, Respiratory tract congestion — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Twich in upper right lip and nose and cough along with slight congestion. All of which is improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Lip pain — Feeling: Good

Free text: I have a sore that developed on my upper middle lip. Never got those before. So I can only associate it with the vaccine. It started yesterday or the day before but I forgot to list it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lip pain — Feeling: Good

Free text: Just the sore on my upper lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 1
MedDRA: Aphthous ulcer — Feeling: Good

Free text: A new canker sore on tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Gallbladder disorder — Feeling: Good

Free text: My gallbladder has started acting up more since the shot. Not sure if related or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Biliary colic — Feeling: Fair

Free text: Gallbladder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Biliary colic — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Gallbladder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Tingling in the face especially the right side. I received the vaccine on the right side.

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Very hard to walk. Each step is heavy. Dizzy and slight nasal and sinus congestion.

2021-03-18

Systemic reaction (other): Forgot to mention a cough and twitch in my nose and upper lip on the right side the day after my shot

2021-03-19

Systemic reaction (other): Twich in upper right lip and nose and cough along with slight congestion. All of which is improving.

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): I have a sore that developed on my upper middle lip. Never got those before. So I can only associate it with the vaccine. It started yesterday or the day before but I forgot to list it.

2021-03-22

Systemic reaction (other): Just the sore on my upper lip

Release 6 — day 14, dose 1

2021-03-30

Symptoms: A new canker sore on tongue

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): My gallbladder has started acting up more since the shot. Not sure if related or not.

2021-04-19

Systemic reaction (other): Gallbladder pain

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Gallbladder pain

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	Aphthous ulcer	✓	✓	✓
SRO	Biliary colic	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Gallbladder disorder	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lip pain	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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