ZVT-13984-56499

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 41-45
ZIP prefix: 680 / NE
Registered: 2021-01-20

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good · Diarrhea

Free text: Never had cold sores before and have developed them in last 24 hours, no changes in lifestyle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good · Headache

Free text: Cold sore, previously reported, no change

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 7, dose 1
MedDRA: Oral herpes — Feeling: Good

Free text: Cold sore reported previously healing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw — Feeling: Good · Site: Pain, Swelling · Joint pains, Diarrhea

Free text: Jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Enlarged lymph nodes on side received vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Lymph nodes on the same side got shot are swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oral pain, Oropharyngeal discomfort, Tenderness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Lymph nodes swollen, jaw, throat and armpit are tender on right side, same side got vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Fatigue or tiredness

Free text: Awareness of heart and rapid heartbeat. Unsure related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph nodes swollen, getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hypertension. Had it checked out and BP has returned to normal, no medications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Never had cold sores before and have developed them in last 24 hours, no changes in lifestyle

2021-01-25

Systemic reaction (other): Cold sore, previously reported, no change

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Cold sore reported previously healing

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Jaw pain

2021-02-19

Systemic reaction (other): Enlarged lymph nodes on side received vaccine

2021-02-20

Systemic reaction (other): Lymph nodes on the same side got shot are swollen

2021-02-21

Systemic reaction (other): Lymph nodes swollen, jaw, throat and armpit are tender on right side, same side got vaccine.

2021-02-23

Systemic reaction (other): Awareness of heart and rapid heartbeat. Unsure related to vaccine.

Release 4 — day 7, dose 2

2021-02-24

Systemic reaction (other): Lymph nodes swollen, getting better.

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Hypertension. Had it checked out and BP has returned to normal, no medications.

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	Hypertension	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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