2DD-15106-76752

4 vaccinations 9 coded responses 40 check-ins 9 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 086 / NJ
Registered: 2021-03-13

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

2021-03-12
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Abdominal pain, Abdominal pain upper, Office visit, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Abdominal discomfort and pain (upper right quadrant) · Healthcare visit (other): Visit to primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Fatigue, Gallbladder disorder, Gastric disorder, Liver disorder, Myalgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Abdominal discomfort. Have newly discovered stomach, gall bladder, and liver issues. Continued fatigue and muscle aches. · Healthcare visit (other): Primary care and gastro specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Call successful
Participant prefers to complete VAERS report online
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Liver disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with liver disease · Healthcare visit (other): Specialist visits, ultrasound, CT scan, blood test

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-13
Call 2 — Left Voicemail
2022-01-12
Dose 3 — Moderna
2022-04-09
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

Free text: Tested positive for COVID on 12/30/21. Symptom free by 1/10/22.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Dose 4 — Moderna
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: Bad leg cramps overnight.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: Leg cramps

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 7, dose 4
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: Leg cramps

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 14, dose 4
MedDRA: Balance disorder, Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Dizziness, nausea, balance issues

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail
2022-06-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-23
Survey response — day 42, dose 4
MedDRA: Abdominal discomfort, Abdominal pain upper — Feeling: Fair

Free text: Stomach aches and intestinal upset

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-12
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna
3	2022-01-12	Moderna	No
4	2022-05-12	Moderna	No

Call center

4 call center cases

2 successful · 2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Abdominal discomfort and pain (upper right quadrant)

Healthcare visit (other): Visit to primary care doctor

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Abdominal discomfort. Have newly discovered stomach, gall bladder, and liver issues. Continued fatigue and muscle aches.

Healthcare visit (other): Primary care and gastro specialist

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Diagnosed with liver disease

Healthcare visit (other): Specialist visits, ultrasound, CT scan, blood test

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Tested positive for COVID on 12/30/21. Symptom free by 1/10/22.

Release 11 — days 1–6 daily, dose 4

2022-05-17

Systemic reaction (other): Bad leg cramps overnight.

2022-05-18

Systemic reaction (other): Leg cramps

Release 11 — day 7, dose 4

2022-05-19

Systemic reaction (other): Leg cramps

Release 11 — day 14, dose 4

2022-05-26

Symptoms: Dizziness, nausea, balance issues

Release 12 — day 42, dose 4

2022-06-23

Symptoms: Stomach aches and intestinal upset

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	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	○
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain	✓	✓	○
SD	Abdominal pain upper	·	·	✓
SD	Balance disorder	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gallbladder disorder	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Liver disorder	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Muscle spasms	·	·	✓

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