3LD-18746-51349

4 vaccinations 16 coded responses 41 check-ins 15 free-text entries 1 call case

Sex: Male
Age at first dose: 41-45
ZIP prefix: 481 / MI
Registered: 2021-04-14

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Slight bruise on injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Bruise around injection site is green and slightly larger than yesterday, but no pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: The bruise is still there. Same size, no pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: My bruise seems larger than yesterday, but still no pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 1
MedDRA: Injection site bruising, Injection site rash, Rash erythematous — Feeling: Fair · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Free text: My greenish bruise is mostly gone, but has now been replaced by a 2 and a half inch red rash near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 1
MedDRA: Injection site rash, Medical counselling, Rash, Rash pruritic — Feeling: Good

Free text: Very bad rash on injection site. I went to pharmacy and was told this was normal a week after getting Moderna vaccination. Rash was mildly sore and itched. I did not take any medication. Rash dissolved within two days afterwards.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-12
Dose 2 — Moderna
2021-05-12
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 21, dose 2
MedDRA: Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I woke up two days ago and suddenly felt a minor pain in the exact spot where I received the vaccination. It feels like I have been punched in my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-23
Survey response — day 42, dose 2
MedDRA: Acne — Feeling: Good

Free text: A small pimple has appeared as of today, in exact place I had the vaccinations. No itch or rash accompanies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2022-05-03
Dose 4 — Moderna
2022-05-03
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-10
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-17
Survey response — day 14, dose 4
MedDRA: Chills — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — day 21, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Survey response — day 28, dose 4
MedDRA: Diarrhoea, Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea, some minor aches in area vaccination was received

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — day 35, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mild diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Survey response — day 42, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mild diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Survey response — 3 months, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — 6 months, dose 4
MedDRA: SARS-CoV-2 test positive — 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: I tested positive for covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-02
Call successful
Participant prefers to complete VAERS report online
2023-05-03
Survey response — 12 months, dose 4
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-12	Moderna
3	2021-12-07	Moderna	No
4	2022-05-03	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Slight bruise on injection site

2021-04-18

Systemic reaction (other): Bruise around injection site is green and slightly larger than yesterday, but no pain

2021-04-19

Systemic reaction (other): The bruise is still there. Same size, no pain

2021-04-20

Systemic reaction (other): My bruise seems larger than yesterday, but still no pain

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): My greenish bruise is mostly gone, but has now been replaced by a 2 and a half inch red rash near injection site

Release 8 — day 14, dose 1

2021-04-28

Symptoms: Very bad rash on injection site. I went to pharmacy and was told this was normal a week after getting Moderna vaccination. Rash was mildly sore and itched. I did not take any medication. Rash dissolved within two days afterwards.

Release 8 — day 21, dose 2

2021-06-02

Symptoms: I woke up two days ago and suddenly felt a minor pain in the exact spot where I received the vaccination. It feels like I have been punched in my arm.

Release 9 — day 42, dose 2

2021-06-23

Symptoms: A small pimple has appeared as of today, in exact place I had the vaccinations. No itch or rash accompanies.

Release 11 — day 14, dose 4

2022-05-17

Symptoms: Chills

Release 11 — day 21, dose 4

2022-05-24

Symptoms: Diarrhea

Release 11 — day 28, dose 4

2022-05-31

Symptoms: Diarrhea, some minor aches in area vaccination was received

Release 11 — day 35, dose 4

2022-06-07

Symptoms: Mild diarrhea

Release 12 — day 42, dose 4

2022-06-14

Symptoms: Mild diarrhea

Release 12 — 3 months, dose 4

2022-08-02

Symptoms: Diarrhea

Release 12 — 6 months, dose 4

2022-11-01

Symptoms: I tested positive for covid

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	Acne	✓	✓	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vaccination site pain	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓

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