3YH-17880-14497

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 5 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 992 / WA
Registered: 2021-04-27

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

2021-04-27
Registered in v-safe
2021-04-27
Dose 1 — Moderna
2021-04-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 21, dose 1
MedDRA: Enlarged uvula, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat for 4 or 5 days, elongated uvula, worst in the early morning. No other cold symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Dose 2 — Moderna
2021-05-25
Survey response — day 0, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Possible spider bite on back of leg resulting in moderate rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Insomnia, Poor quality sleep, Rash, Rash pruritic — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Rash (improving; possible spider bite). Lack of sleep and poor sleep probably due to itchy bite/rash and staying up way too late. Feeling colder than normal at night also probably related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash from possible spider bite and possible reaction to antibiotics

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-30
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-31
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-06-01
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Call 1 — Left Voicemail
2021-07-09
Call successful
Participant prefers to complete VAERS report online
2021-08-24
Survey response — 3 months, dose 2
MedDRA: Haemorrhoids — Feeling: Good

Free text: External hemorrhoids

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-25
Survey response — 12 months, dose 2
MedDRA: Muscle strain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back strain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Moderna
2	2021-05-25	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-05-18

Symptoms: Sore throat for 4 or 5 days, elongated uvula, worst in the early morning. No other cold symptoms.

Release 8 — day 0, dose 2

2021-05-25

Systemic reaction (other): Possible spider bite on back of leg resulting in moderate rash.

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Rash (improving; possible spider bite). Lack of sleep and poor sleep probably due to itchy bite/rash and staying up way too late. Feeling colder than normal at night also probably related.

2021-05-28

Systemic reaction (other): Rash from possible spider bite and possible reaction to antibiotics

Release 9 — 3 months, dose 2

2021-08-24

Symptoms: External hemorrhoids

Release 11 — 12 months, dose 2

2022-05-25

Symptoms: Back strain

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	Enlarged uvula	✓	✓	✓
SD	Haemorrhoids	✓	·	✓
SD	Muscle strain	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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