2TJ-13077-82641

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-03-12

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
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Ejaculation disorder, Prostatic disorder, Unevaluable event — Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches

Free text: I don't know if this matters but my prostate limits my flow for some reason I had a good flow when the symptoms were at the most intense after with the vaccine

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: Constipation — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Constipated

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 · Joint pains, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

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

Adult check-in
2021-04-03
Survey response — day 21, dose 1
MedDRA: Asthenia, Ear discomfort, Fatigue, Nasal congestion, Productive cough, Respiratory tract congestion — Feeling: Fair

Free text: Tired had tendonitis in my left arm weak with a stuffy nose mild congestion a little phlegm. Having trouble balancing the pressure in my right ear helped by using nasal spray. Condition has improved tendonitis has subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Groin pain, Pain, Self-medication, Testicular pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Pain in the left testicle radiating up until my groin. Earlier today it just hurts a little bit now I took some hydroprofen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Tendon pain — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to work

Free text: Tendon pain in my left arm for my wrist back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Survey response — day 7, dose 2
MedDRA: Constipation — Feeling: Good

Free text: A little constipated the last few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 14, dose 2
Feeling: Fair

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: Fair

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Blood triglycerides increased, Hypertension, Vitamin D decreased — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Blood pressure and triglyceride levels high vitamin d low

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Muscle tightness, Urinary tract infection — 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

Free text: Urinary tract infection lately. But ever since I had those injections for covid-19 my left arm has been giving me fits in the shoulder area never happened before. Muscle tightness feels like sometimes it's ripped from the socket.

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-13
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): I don't know if this matters but my prostate limits my flow for some reason I had a good flow when the symptoms were at the most intense after with the vaccine

2021-03-14

Systemic reaction (other): Constipated

Release 6 — day 21, dose 1

2021-04-03

Symptoms: Tired had tendonitis in my left arm weak with a stuffy nose mild congestion a little phlegm. Having trouble balancing the pressure in my right ear helped by using nasal spray. Condition has improved tendonitis has subsided.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Pain in the left testicle radiating up until my groin. Earlier today it just hurts a little bit now I took some hydroprofen.

2021-04-14

Systemic reaction (other): Tendon pain in my left arm for my wrist back

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): A little constipated the last few days.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Blood pressure and triglyceride levels high vitamin d low

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Urinary tract infection lately. But ever since I had those injections for covid-19 my left arm has been giving me fits in the shoulder area never happened before. Muscle tightness feels like sometimes it's ripped from the socket.

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	Asthenia	✓	✓	✓
SD	Blood triglycerides increased	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SD	Vitamin D decreased	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Ejaculation disorder	○	✓	○
SRO	Groin pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Prostatic disorder	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tendon pain	✓	✓	✓
SRO	Testicular pain	✓	✓	✓
SRO	Unevaluable event	✓	·	✓

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