2CM-95889-95402

3 vaccinations 13 coded responses 40 check-ins 13 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 786 / TX
Registered: 2021-03-09

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

Timeline

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling of body temperature change — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hot & cold feel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good

Free text: Sore muscles in right arm-very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches

Free text: Mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My one side of muscle aches at evening right shoulder to lower back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

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: Influenza — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt with flue symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 7, dose 2
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: Only on right arm when I raise hand or wright

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 21, dose 2
MedDRA: Injected limb mobility decreased, Pain in extremity, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: One of my right arm sore and unable to raise hand with weight · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
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
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Moderna
2021-11-17
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth, Influenza like illness, Oropharyngeal pain — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Flue like symptoms-dry mouth and sore throat and

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-24
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-08
Survey response — day 21, dose 3
MedDRA: Myalgia, Pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: By lower right leg body in muscles pain when bent or walk

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 28, dose 3
MedDRA: Arthralgia, Back pain, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My right lower bottom back to knees,toes is very painful muscles

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — day 42, dose 3
MedDRA: Arthralgia, Back pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My lower back pain and knee pain is not going away

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-30
Call successful
Participant prefers to complete VAERS report online
2022-02-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-17	Moderna
3	2021-11-17	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Hot & cold feel

2021-03-13

Systemic reaction (other): Sore muscles in right arm-very mild

2021-03-14

Systemic reaction (other): Mild

Release 6 — day 14, dose 1

2021-03-23

Symptoms: My one side of muscle aches at evening right shoulder to lower back

Release 7 — day 0, dose 2

2021-04-17

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Felt with flue symptoms

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Only on right arm when I raise hand or wright

Release 8 — day 21, dose 2

2021-05-08

Symptoms: One of my right arm sore and unable to raise hand with weight

Healthcare visit (other): Physical therapy

Release 10 — day 0, dose 3

2021-11-17

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): Flue like symptoms-dry mouth and sore throat and

Release 10 — day 21, dose 3

2021-12-08

Symptoms: By lower right leg body in muscles pain when bent or walk

Release 10 — day 28, dose 3

2021-12-15

Symptoms: My right lower bottom back to knees,toes is very painful muscles

Release 10 — day 42, dose 3

2021-12-29

Symptoms: My lower back pain and knee pain is not going away

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	Physiotherapy	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Injected limb mobility decreased	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dry mouth	·	·	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Influenza like illness	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓

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