ZNU-15502-39374

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 900 / CA
Registered: 2021-04-06

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

2021-04-05
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Pain in inoculation arm was acute but is subsiding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm pain from yesterday almost gone!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Initial pain in inoculated arm is nearly gone. No headaches or other side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Influenza like illness, Oropharyngeal pain, Pyrexia — Feeling: Good · Headache

Free text: Last night starting at 6pm until 1am, I had mild flu-like symptoms: sore throat, headache, fever. When I woke up this morning I felt much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Feeling good today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Nasal congestion — Feeling: Fair

Free text: Headaches, fatigue and nasal congestion. Might be because of a recent spider bite, however.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Dose 2 — Moderna
2021-05-03
Survey response — day 0, dose 2
MedDRA: Cough, Throat irritation — Feeling: Good · Headache

Free text: Slight itchy throat with occasional cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel slightly better than yesterday. Body aches gone. Still somewhat fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling hot, Respiratory tract congestion — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: After lunch, experienced a bit of warmness and congestion, but it seems to be going away. Still more fatigued than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache

Free text: Still improving, which is nice!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Headache

Free text: Slight dry cough; might be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tiredness

Free text: Very mild symptoms, probably not related to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-03
Survey response — 12 months, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain, Sneezing — Feeling: Good · Be unable to work or attend school

Free text: In December/January, sore throat, headache, fatigue, sneezing

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Pain in inoculation arm was acute but is subsiding

2021-04-07

Systemic reaction (other): Arm pain from yesterday almost gone!

2021-04-09

Systemic reaction (other): Initial pain in inoculated arm is nearly gone. No headaches or other side effects.

2021-04-10

Systemic reaction (other): Last night starting at 6pm until 1am, I had mild flu-like symptoms: sore throat, headache, fever. When I woke up this morning I felt much better.

2021-04-11

Systemic reaction (other): Feeling good today.

Release 8 — day 21, dose 1

2021-04-26

Symptoms: Headaches, fatigue and nasal congestion. Might be because of a recent spider bite, however.

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Slight itchy throat with occasional cough

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Feel slightly better than yesterday. Body aches gone. Still somewhat fatigued.

2021-05-06

Systemic reaction (other): After lunch, experienced a bit of warmness and congestion, but it seems to be going away. Still more fatigued than usual.

2021-05-07

Systemic reaction (other): Still improving, which is nice!

2021-05-08

Systemic reaction (other): Slight dry cough; might be allergies

2021-05-09

Systemic reaction (other): Very mild symptoms, probably not related to the shot.

Release 11 — 12 months, dose 2

2022-05-03

Symptoms: In December/January, sore throat, headache, fatigue, sneezing

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sneezing	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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