39F-29999-90698

2 vaccinations 13 coded responses 27 check-ins 13 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 850 / AZ
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Respiratory tract congestion, Sneezing, Throat irritation — Feeling: Fair · Fever

Free text: Cold symptoms: congestion, sneezing, scratchy throat. Could be my allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Secretion discharge, Throat irritation — Feeling: Fair · Fever · Muscle or body aches

Free text: Yellow snot, scratchy throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Increased viscosity of upper respiratory secretion — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Thick mucous.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Mucous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Nasal dryness — Feeling: Fair · Fatigue or tiredness

Free text: Dry stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Good · Fatigue or tiredness

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Hypersensitivity, Pruritus — Feeling: Good

Free text: Itchy feet. Possibly athletes foot. Allergy symptoms (runny nose, sneezing). I do have allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 28, dose 2
MedDRA: Muscle spasms — Feeling: Good

Free text: Muscle cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good

Free text: My neck has been stiff/sore for a week or two now. Not sure if it's related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Cough, Feeling hot, Office visit, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Went to urgent care with cough, fever (felt feverish, but not measured), sinus pressure, nasal discharge, and sore throat. Tested negative for Covid via PCR.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-01
Call 1 — Could Not Reach Participant
2021-09-01
Callback requested for
07:30PM ET
2021-09-01
Call successful
Participant prefers to complete VAERS report online
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold like symptoms for 2-3 days.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-25	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Cold symptoms: congestion, sneezing, scratchy throat. Could be my allergies.

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Yellow snot, scratchy throat.

2021-01-30

Systemic reaction (other): Thick mucous.

2021-01-31

Systemic reaction (other): Mucous

2021-02-01

Systemic reaction (other): Cough

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Cough

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Dry stuffy nose

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Stuffy nose

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Itchy feet. Possibly athletes foot. Allergy symptoms (runny nose, sneezing). I do have allergies.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Muscle cramps.

Release 7 — day 42, dose 2

2021-04-08

Symptoms: My neck has been stiff/sore for a week or two now. Not sure if it's related.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Went to urgent care with cough, fever (felt feverish, but not measured), sinus pressure, nasal discharge, and sore throat. Tested negative for Covid via PCR.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Cold like symptoms for 2-3 days.

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	Cough	✓	·	✓
SD	Feeling hot	✓	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Paranasal sinus discomfort	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Increased viscosity of upper respiratory secretion	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasal dryness	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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