4NJ-96585-07363

4 vaccinations 24 coded responses 46 check-ins 24 free-text entries 5 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 800 / CO
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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Pain — Feeling: Good

Free text: One day (after a week and the first day of not receiving the VSafe check-in), I had an intense headache (similar to my day after headache), body aches, and fatigue. These worsened throughout the day but suddenly went away after about 6-8 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Testicular pain, Testicular swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: My right testicle is alarmingly swollen in size and has moderate pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Testicular swelling — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Slight swelling persisting in right testicle but decreasing. Severe symptoms (reported yesterday) lasted approximately 32 hours. Then, symptoms rapidly decreased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Testicular swelling — Feeling: Good · Site: Pain

Free text: Moderate swelling in right testicle persisting (will seek medical advice).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Testicular swelling — Feeling: Good · Site: Pain

Free text: Swelling in testicle is now slight. It seems to have correlated with the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Medical counselling, Scrotal swelling, Testicular swelling, Testis cancer, Vaccination site swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I previously reported that my right testicle and scrotum appeared to swell after the vaccine. The swelling went down, and I noticed swelling that seemed to remain. I have now been diagnosed with testicular cancer. · Healthcare visit (other): Unrelated to vaccine. Sought treatment for swelling that remained after vaccine swelling diminished.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — day 21, dose 2
MedDRA: Scrotal swelling, Testicular swelling, Testis cancer, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Vaccine caused severe swelling in scrotum. Swelling subsided, but I noticed lingering testicular swelling that has been diagnosed as likely testicular cancer. I had an orchiectomy on Thursday, 4/29. I am recovering and awaiting final diagnosis. · Healthcare visit (other): See notes above. Highly likely to be unrelated to vaccine other than it caused a warning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Surgery, Swelling, Testis cancer — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued treatment for testicular cancer that was discovered due to swelling that subsided after the second dose of the Moderna vaccine. · Healthcare visit (other): Surgery for testicular cancer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call 1 — Left Voicemail
2021-12-11
Dose 3 — Pfizer-BioNTech
2021-12-11
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Scrotal discomfort — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Discomfort in scrotum.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling

Free text: Painful, palpable, and visible swelling in armpit on the side of injection arm (left).

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Groin pain, Musculoskeletal discomfort, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Abdominal pain

Free text: Increasing lower-right groin discomfort and mild pain. | Also, armpit swelling and pain continued today but is improving.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Musculoskeletal discomfort — Feeling: Good · Site: Pain

Free text: Continued mild pain in armpit. | Continued but now sporadic groin discomfort.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Groin pain — Feeling: Good · Site: Pain

Free text: Armpit pain is almost gone but still present. | Groin pain is now only occasional and very minimal.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Groin pain — Feeling: Good · Site: Pain

Free text: Armpit pain is same as yesterday: slight but still present. | Occasional groin pain still present.

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — day 7, dose 3
MedDRA: Adverse reaction, Axillary pain, Pain, Tenderness — Feeling: Good · Site: Pain

Free text: Slight armpit pain remaining. Tender to touch and only certain movements. | Groin seems fine today.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — day 14, dose 3
MedDRA: Abdominal pain, Groin pain, Medical counselling, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The groin and abdominal pain I started to experience after the booster has become consistent and has shifted around throughout the lower right side of my body. I reached out to my doctor and am currently on Ibuprofen for 5 days.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-01-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-25
Survey response — day 42, dose 3
MedDRA: Abdominal pain, Axillary pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My abdominal pain returned on & off. I ended up getting an ultrasound, which was normal. I also had a return to the armpit pain on the left side (injection side) that I had initially had right after receiving the injection. This lasted 24 hours. · Healthcare visit (other): Imaging: ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-26
Call successful
Does not wish to fill out VAERS report
2022-03-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-14
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-14
Survey response — day 0, dose 4
MedDRA: Chest discomfort — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Chest pressure

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Scrotal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Some mild scrotal pain. Some moderate throat pain.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Survey response — days 1–6 daily, dose 4
MedDRA: Scrotal discomfort — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Abdominal pain

Free text: Scrotal discomfort.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Free text: Throat pain.

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, SARS-CoV-2 test positive, Scrotal discomfort — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe throat pain. Scrotal discomfort. And just tested positive for COVID with an at-home test.

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Fever · Headache, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: These symptoms are not the vaccine at this point. I tested positive for COVID with many symptoms. Coughing, congestion, and more.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 7, dose 4
MedDRA: COVID-19 — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I am still positive for COVID but getting better.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-12-11	Pfizer-BioNTech	No
4	2022-10-14	Pfizer-BioNTech	Flu

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-25

Symptoms: One day (after a week and the first day of not receiving the VSafe check-in), I had an intense headache (similar to my day after headache), body aches, and fatigue. These worsened throughout the day but suddenly went away after about 6-8 hours.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): My right testicle is alarmingly swollen in size and has moderate pain.

2021-04-10

Systemic reaction (other): Slight swelling persisting in right testicle but decreasing. Severe symptoms (reported yesterday) lasted approximately 32 hours. Then, symptoms rapidly decreased.

2021-04-11

Systemic reaction (other): Moderate swelling in right testicle persisting (will seek medical advice).

2021-04-12

Systemic reaction (other): Swelling in testicle is now slight. It seems to have correlated with the vaccine.

Release 7 — day 14, dose 2

2021-04-22

Symptoms: I previously reported that my right testicle and scrotum appeared to swell after the vaccine. The swelling went down, and I noticed swelling that seemed to remain. I have now been diagnosed with testicular cancer.

Healthcare visit (other): Unrelated to vaccine. Sought treatment for swelling that remained after vaccine swelling diminished.

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Vaccine caused severe swelling in scrotum. Swelling subsided, but I noticed lingering testicular swelling that has been diagnosed as likely testicular cancer. I had an orchiectomy on Thursday, 4/29. I am recovering and awaiting final diagnosis.

Healthcare visit (other): See notes above. Highly likely to be unrelated to vaccine other than it caused a warning.

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Continued treatment for testicular cancer that was discovered due to swelling that subsided after the second dose of the Moderna vaccine.

Healthcare visit (other): Surgery for testicular cancer

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): Discomfort in scrotum.

2021-12-13

Systemic reaction (other): Painful, palpable, and visible swelling in armpit on the side of injection arm (left).

2021-12-14

Systemic reaction (other): Increasing lower-right groin discomfort and mild pain. | Also, armpit swelling and pain continued today but is improving.

2021-12-15

Systemic reaction (other): Continued mild pain in armpit. | Continued but now sporadic groin discomfort.

2021-12-16

Systemic reaction (other): Armpit pain is almost gone but still present. | Groin pain is now only occasional and very minimal.

2021-12-17

Systemic reaction (other): Armpit pain is same as yesterday: slight but still present. | Occasional groin pain still present.

Release 10 — day 7, dose 3

2021-12-18

Systemic reaction (other): Slight armpit pain remaining. Tender to touch and only certain movements. | Groin seems fine today.

Release 10 — day 14, dose 3

2021-12-25

Symptoms: The groin and abdominal pain I started to experience after the booster has become consistent and has shifted around throughout the lower right side of my body. I reached out to my doctor and am currently on Ibuprofen for 5 days.

Release 11 — day 42, dose 3

2022-01-25

Symptoms: My abdominal pain returned on & off. I ended up getting an ultrasound, which was normal. I also had a return to the armpit pain on the left side (injection side) that I had initially had right after receiving the injection. This lasted 24 hours.

Healthcare visit (other): Imaging: ultrasound

Release 12 — day 0, dose 4

2022-10-14

Systemic reaction (other): Chest pressure

Release 12 — days 1–6 daily, dose 4

2022-10-15

Systemic reaction (other): Some mild scrotal pain. Some moderate throat pain.

2022-10-16

Systemic reaction (other): Scrotal discomfort.

2022-10-17

Systemic reaction (other): Throat pain.

2022-10-18

Systemic reaction (other): Severe throat pain. Scrotal discomfort. And just tested positive for COVID with an at-home test.

2022-10-20

Systemic reaction (other): These symptoms are not the vaccine at this point. I tested positive for COVID with many symptoms. Coughing, congestion, and more.

Release 12 — day 7, dose 4

2022-10-24

Systemic reaction (other): I am still positive for COVID but getting better.

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	Medical counselling	✓	✓	✓
HCVO	Surgery	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
HCVO	Vaccination site swelling	✓	✓	✓
SD	Abdominal pain	·	·	✓
SD	Axillary pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Groin pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Pain	✓	✓	✓
SD	Scrotal swelling	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Swelling	✓	✓	✓
SD	Testicular swelling	✓	✓	✓
SD	Testis cancer	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Cough	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Groin pain	·	·	✓
SRO	Musculoskeletal discomfort	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Scrotal discomfort	·	·	✓
SRO	Scrotal pain	·	·	✓
SRO	Tenderness	·	·	✓
SRO	Testicular pain	✓	✓	✓
SRO	Testicular swelling	✓	✓	✓

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