249-24604-82513

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-02-02

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

2021-01-31
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Appetite disorder, Hunger, Immediate post-injection reaction — Feeling: Good

Free text: I am a home cook. shortly after shot I was very hungry. and got hungry again very soon. Has been 2 1/2 days can not stop eating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Increased appetite — Feeling: Good

Free text: Still eating a lot but less than day 1 and 2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Be unable to work

Free text: Eating less but taking frequent naps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Hypersomnia — Feeling: Good · Be unable to work

Free text: Yesterday ate less food but slept a lot. Today almost normal.?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Good · Be unable to work

Free text: Malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-03-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, dose 2
MedDRA: Chronic obstructive pulmonary disease, Dyspnoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: COPD flare up. Shortness of breath when not resting or moving slowly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Dyspnoea, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Acute shortness if breath unlike previuos COPD flare uos · Healthcare visit (other): CT Chest Scan

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call successful
Participant prefers to complete VAERS report online
2021-12-30
Dose 3 — Pfizer-BioNTech
2022-03-13
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in
2022-04-02
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-07-02
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2023-01-01
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-03-11	Moderna
3	2021-12-30	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): I am a home cook. shortly after shot I was very hungry. and got hungry again very soon. Has been 2 1/2 days can not stop eating

2021-02-03

Systemic reaction (other): Still eating a lot but less than day 1 and 2

2021-02-04

Systemic reaction (other): Eating less but taking frequent naps

2021-02-05

Systemic reaction (other): Yesterday ate less food but slept a lot. Today almost normal.?

2021-02-06

Systemic reaction (other): Malaise

Release 7 — day 35, dose 2

2021-04-15

Symptoms: COPD flare up. Shortness of breath when not resting or moving slowly

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Acute shortness if breath unlike previuos COPD flare uos

Healthcare visit (other): CT Chest Scan

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
HCVO	Unevaluable event	·	·	✓
SD	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Hunger	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Increased appetite	✓	✓	✓
SRO	Malaise	✓	✓	✓

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