43F-79543-32573

3 vaccinations 4 coded responses 28 check-ins 4 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 047 / ME
Registered: 2021-03-07

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

2021-03-04
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Fatigue, Muscle spasms, Muscle tightness, Neck pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck, shoulder, back and low back consistent pain with muscle spasms/tightness. Tiredness after minimal chores.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Muscle spasms, Myalgia, Spinal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increase in lower spine and back pain. Muscle spasms in lower back area. Increase in muscle pain within neck and shoulder joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 42, dose 2
MedDRA: Arthralgia, Muscle spasms, Myalgia, Neck pain, Spinal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck, shoulder spine and right side muscle spasam and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Moderna
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-28
Survey response — 12 months, dose 3
MedDRA: Back pain, Dry throat, Fatigue, Office visit, Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Throat dryness and times excessive foamy fluids from my lungs. Sore throat in the morning almost every other day. Tiredness and increase in low rt side baxk pain. · Healthcare visit (other): Visit with family Dr.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-29
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-09-28	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Neck, shoulder, back and low back consistent pain with muscle spasms/tightness. Tiredness after minimal chores.

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Increase in lower spine and back pain. Muscle spasms in lower back area. Increase in muscle pain within neck and shoulder joints.

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Neck, shoulder spine and right side muscle spasam and pain.

Release 12 — 12 months, dose 3

2022-09-28

Symptoms: Throat dryness and times excessive foamy fluids from my lungs. Sore throat in the morning almost every other day. Tiredness and increase in low rt side baxk pain.

Healthcare visit (other): Visit with family Dr.

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
HCVO	Office visit	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Dry throat	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Spinal pain	✓	✓	✓

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