2L6-20230-67541

3 vaccinations 11 coded responses 24 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 024 / MA
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-13
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — day 21, dose 1
MedDRA: Arthralgia, Psoriasis, Psoriatic arthropathy — Feeling: Good

Free text: Joint aches. Two days after 1st inj. (2/13). Reactivation of psoriatic arthritis(PSA) that had been latent. Sequelae continues. Had been taking Skyrizi for 8 months, for psoriasis, but was ineffective. Moving over to Taltz to see if it helps PS+PSA.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Dose 2 — Moderna
2021-03-13
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: I just got the injection just minutes ago so most of above not likely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Type O-

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 21, dose 2
MedDRA: Hyposmia, Tinnitus — Feeling: Good

Free text: Tinnitus increasing. Left ear notable. Sense of smell seems to be affected. Can't smell as much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Dose 3 — Moderna
2021-08-27
Survey response — days 1–6 daily, dose 3
MedDRA: Balance disorder, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My feet hurt like hell. Balance is a bit off.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: little dizzy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-11
Survey response — day 14, dose 3
MedDRA: Brain fog — Feeling: Good

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Survey response — day 28, dose 3
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme tiredness and sleepiness. But this may be more related to my arthritis drugs than the covid shots.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — day 35, dose 3
MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair

Free text: Joint pain is more pronounced lately, particularly my extremities. (Limbs) Feels different from past pain. Sharper.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — day 42, dose 3
MedDRA: Cough, Headache, Pre-existing disease, Rhinorrhoea, Secretion discharge, Sneezing, Wheezing — Feeling: Fair

Free text: Runny nose, sneezing, headache, cough, wheezing. Mucus= clearish. Had flu and shingles vaccines about 5-6 days ago. Might be allergies.

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — 3 months, dose 3
MedDRA: Arthritis, Hepatic fibrosis, Pre-existing disease — Feeling: Fair · 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: Diagnosed with fibroids on liver; arthritis is worse.

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2022-01-17
Call 1 — Left Voicemail
2022-01-17
Call successful
Participant prefers to complete VAERS report online
2022-02-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-13	Moderna
3	2021-08-26	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Joint aches. Two days after 1st inj. (2/13). Reactivation of psoriatic arthritis(PSA) that had been latent. Sequelae continues. Had been taking Skyrizi for 8 months, for psoriasis, but was ineffective. Moving over to Taltz to see if it helps PS+PSA. cut off by CDC

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): I just got the injection just minutes ago so most of above not likely.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Type O-

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Tinnitus increasing. Left ear notable. Sense of smell seems to be affected. Can't smell as much.

Release 9 — days 1–6 daily, dose 3

2021-08-27

Systemic reaction (other): My feet hurt like hell. Balance is a bit off.

2021-09-01

Systemic reaction (other): little dizzy

Release 9 — day 14, dose 3

2021-09-11

Symptoms: Brain fog

Release 9 — day 28, dose 3

2021-09-23

Symptoms: Extreme tiredness and sleepiness. But this may be more related to my arthritis drugs than the covid shots.

Release 9 — day 35, dose 3

2021-10-03

Symptoms: Joint pain is more pronounced lately, particularly my extremities. (Limbs) Feels different from past pain. Sharper.

Release 10 — day 42, dose 3

2021-10-07

Symptoms: Runny nose, sneezing, headache, cough, wheezing. Mucus= clearish. Had flu and shingles vaccines about 5-6 days ago. Might be allergies.

Release 10 — 3 months, dose 3

2021-11-25

Symptoms: Diagnosed with fibroids on liver; arthritis is worse.

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	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hepatic fibrosis	·	·	✓
SD	Hyposmia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Psoriasis	✓	✓	✓
SD	Psoriatic arthropathy	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sneezing	·	·	✓
SD	Somnolence	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Balance disorder	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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