ZM2-93002-95777

5 vaccinations 21 coded responses 58 check-ins 21 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 159 / PA
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Multimorbidity, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Possible nausea. It is difficult to determine whether some of these symptoms are attributed to the vaccine or related to a variety of underlying healh conditions or comorbities/ environmental factors related to being my father's caregiver. It is commonplace for me to experience some of these symptoms regardless. Unsure if exacerbated by the first vaccine dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Ear pain, Feeling cold, Feeling hot, Functional gastrointestinal disorder, Injection site pain, Injection site pruritus, Lymphadenopathy, Oropharyngeal pain, Throat tightness — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Yesterday- swollen nodes or tightness in throat after submitting report that subsided after several hours (no difficulty eating, drinking, swallowing, or breathing- most pain on right side with a fleeting pain in right ear) Today- bowel changes (more frequent but incomplete), slight burning sensation with itching at injection site (dull, aching pain not felt at all for first time today), body sensation of cold with no chills or fever (felt slightly warm on day one), varying degrees of confusion or confused state earlier today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Nerve compression, Nervous system disorder, Ulnar nerve palsy — Feeling: Good · Fever · Joint pains, Fatigue or tiredness

Free text: Joint pain- I'm almost positive was related to ulnar compression from several neurological conditions I've been diagnosed with.

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

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal inflammation — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal Inflammation- not sure about rash elsewhere on body- i haven't checked yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Ear pain, Lymphadenopathy — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck and pain behind ears last night and this morning....abdominal pain last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Abdominal pain

Adult check-in
2021-04-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Cough, Oropharyngeal pain, Throat irritation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Occasional cough, ocassional pain on right side of chest, sore throat of scratching sensation at throat during onset of symptoms and once or twice following

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Cough, Dysuria — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Occasional cough, some trouble urinating (a lot worse yesterday)- had a number of unreported symptoms appear yesterday after my v-safe check-in that have lessened in severity or gone away since

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Cough, Dizziness, Heart rate increased, Hypersomnia, Urine odour abnormal — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fast heartbeat, strange odor from urine, cough, dizziness or feeling faint, not sure about sensations from chest that I noticed shortly before 24 hours after vaccine was administered that have come and gone- I've been sleeping too much to recognize

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased, Somnolence, Urine abnormality — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Faster heartbeat than usual, foam in urine- schedule is off since vaccine so I slept all day, have not been awake long enough to detect more symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Anxiety — Feeling: Good · Site: Redness, Swelling · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Not really. Concerned about some of the side effects that sounded similar to those on the list of serious side effects. I briefly experienced some of them the first 72 hours, but haven't really noticed them since.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-21
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: Not at the moment

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Confusional state, Cough — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Possible chest pain in right pectoral area, confusion, occasional light cough

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · Fever · Fatigue or tiredness

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-06
Survey response — day 14, dose 4
MedDRA: Adverse reaction, Medical counselling — Feeling: Good

Free text: Private but of concern enough to schedule with and consult with doctor for tests or involve specialist

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — day 21, dose 4
MedDRA: Adverse reaction — Feeling: Good

Free text: Same as before. I am having the symptoms monitored with checkups. I will provide details on the next check-in as I will know more by then hopefully.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — day 28, dose 4
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair

Free text: Still uncertain as to the extent but my new health issues seem to be related to my liver- most likely associated with issues unrelated to the vaccine. They just happened to occur shortly after my fourth dose. However, I do have severe or just below s

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — day 35, dose 4
MedDRA: Anxiety, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: I'd rather not if that's okay. If I receive any definitive answers in the near future as to why I have been feeling Ill, I will certainly let you know if I'm not dealing with high levels of anxiety at the time. Thank you.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Survey response — day 42, dose 4
MedDRA: Adverse reaction — Feeling: Good · Be unable to do your normal daily activities

Free text: Too many to list.

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Dose 5 — Pfizer-BioNTech
2022-09-14
Health check-in — day 0, dose 5
Feeling: Good · Fever · None

Adult check-in
2022-09-16
Survey response — days 1–6 daily, dose 5
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Possible neuropathy worsened temporarily (mostly numbness in hands and leg pain); may be unrelated to the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Health check-in — day 7, dose 5
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Survey response — day 35, dose 5
MedDRA: Gastrooesophageal reflux disease, Sinus pain, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Gerd, Sinus inflammation/ pain, Etc

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna
3	2021-10-27	Moderna	No
4	2022-04-21	Pfizer-BioNTech	No
5	2022-09-14	Pfizer-BioNTech	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Possible nausea. It is difficult to determine whether some of these symptoms are attributed to the vaccine or related to a variety of underlying healh conditions or comorbities/ environmental factors related to being my father's caregiver. It is commonplace for me to experience some of these symptoms regardless. Unsure if exacerbated by the first vaccine dose.

2021-03-02

Systemic reaction (other): Yesterday- swollen nodes or tightness in throat after submitting report that subsided after several hours (no difficulty eating, drinking, swallowing, or breathing- most pain on right side with a fleeting pain in right ear) Today- bowel changes (more frequent but incomplete), slight burning sensation with itching at injection site (dull, aching pain not felt at all for first time today), body sensation of cold with no chills or fever (felt slightly warm on day one), varying degrees of confusion or confused state earlier today

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Joint pain- I'm almost positive was related to ulnar compression from several neurological conditions I've been diagnosed with.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Nasal Inflammation- not sure about rash elsewhere on body- i haven't checked yet

2021-03-29

Systemic reaction (other): Swollen lymph nodes in neck and pain behind ears last night and this morning....abdominal pain last night

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Occasional cough, ocassional pain on right side of chest, sore throat of scratching sensation at throat during onset of symptoms and once or twice following

2021-10-29

Systemic reaction (other): Occasional cough, some trouble urinating (a lot worse yesterday)- had a number of unreported symptoms appear yesterday after my v-safe check-in that have lessened in severity or gone away since

2021-10-30

Systemic reaction (other): Fast heartbeat, strange odor from urine, cough, dizziness or feeling faint, not sure about sensations from chest that I noticed shortly before 24 hours after vaccine was administered that have come and gone- I've been sleeping too much to recognize cut off by CDC

2021-10-31

Systemic reaction (other): Faster heartbeat than usual, foam in urine- schedule is off since vaccine so I slept all day, have not been awake long enough to detect more symptoms

2021-11-02

Systemic reaction (other): Not really. Concerned about some of the side effects that sounded similar to those on the list of serious side effects. I briefly experienced some of them the first 72 hours, but haven't really noticed them since.

Release 11 — day 0, dose 4

2022-04-21

Systemic reaction (other): Not at the moment

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): Possible chest pain in right pectoral area, confusion, occasional light cough

2022-04-24

Systemic reaction (other): Mild sore throat

Release 11 — day 14, dose 4

2022-05-06

Symptoms: Private but of concern enough to schedule with and consult with doctor for tests or involve specialist

Release 11 — day 21, dose 4

2022-05-14

Symptoms: Same as before. I am having the symptoms monitored with checkups. I will provide details on the next check-in as I will know more by then hopefully.

Release 11 — day 28, dose 4

2022-05-20

Symptoms: Still uncertain as to the extent but my new health issues seem to be related to my liver- most likely associated with issues unrelated to the vaccine. They just happened to occur shortly after my fourth dose. However, I do have severe or just below s cut off by CDC

Release 11 — day 35, dose 4

2022-05-28

Symptoms: I'd rather not if that's okay. If I receive any definitive answers in the near future as to why I have been feeling Ill, I will certainly let you know if I'm not dealing with high levels of anxiety at the time. Thank you.

Release 11 — day 42, dose 4

2022-06-02

Symptoms: Too many to list.

Release 12 — days 1–6 daily, dose 5

2022-09-16

Systemic reaction (other): Possible neuropathy worsened temporarily (mostly numbness in hands and leg pain); may be unrelated to the vaccine

2022-09-17

Systemic reaction (other): Sore throat, runny nose

Release 12 — day 35, dose 5

2022-10-20

Symptoms: Gerd, Sinus inflammation/ pain, Etc

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	Adverse reaction	·	·	✓
SD	Anxiety	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus pain	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Confusional state	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysuria	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Functional gastrointestinal disorder	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Hypersomnia	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Multimorbidity	○	✓	○
SRO	Nasal inflammation	✓	✓	✓
SRO	Nerve compression	✓	·	✓
SRO	Nervous system disorder	✓	·	✓
SRO	No adverse event	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Somnolence	·	·	✓
SRO	Throat irritation	·	·	✓
SRO	Throat tightness	✓	✓	✓
SRO	Ulnar nerve palsy	○	✓	○
SRO	Urine abnormality	·	·	✓
SRO	Urine odour abnormal	·	·	✓

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