4RF-21344-36637

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 750 / TX
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Site: Redness

Free text: I do have some joint pain and muscle aches but nothing out of the norm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches

Free text: I have arthritis so not sure if the weather change or the shot caused my joints to ache today, but it is no worse than a typical day, especially after the weather changes over the past few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Pre-existing disease, Unevaluable event — Feeling: Good · Site: Redness · Muscle or body aches

Free text: Normal aches and pains but none that I would associate with the shot. The actual shot location is a dark red and about the size of a pencil eraser. Then there is about a 3 Ted area radiating in a straight line down from the shot and anout1/2 wide. It is tender but does not hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The area around the shot location is still quite red and not going away. It doesnt bother me but just looks ugly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site scab — Feeling: Good · Site: Redness · Muscle or body aches

Free text: The shot location is now a big ugly dark red, scabby spot about the size of a dime. Not swollen or sore though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema — Feeling: Good · Site: Redness · Muscle or body aches

Free text: The ugly red spot at the injection site finally turned into a scan which came off when I removed my shirt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Redness

Free text: Shit location a little sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Lethargy — Feeling: Fair

Free text: Felt lethargic the past few dsys

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Aplastic anaemia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have developed a type of aplastic anemia, root cause is still in diagnostic stage. · Healthcare visit (other): In patient blood work & review.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Call 1 — Could Not Reach Participant
2021-08-02
Call 2 — Could Not Reach Participant
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Arthritis, Headache, Ligament sprain, Pre-existing disease, Sensitivity to weather change, Sinus headache — Feeling: Fair · 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: Been having sinus headaches occasionally and haven't had a headache in many year prio to this. Also had a sprained left foot that took a couple of weeks to heal. My arthritis has been remaking havoc but that could partially be due to weather change

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2021-10-23
Call 2 — Requested Callback
2021-10-25
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): I do have some joint pain and muscle aches but nothing out of the norm.

2021-03-26

Systemic reaction (other): I have arthritis so not sure if the weather change or the shot caused my joints to ache today, but it is no worse than a typical day, especially after the weather changes over the past few days.

2021-03-27

Systemic reaction (other): Normal aches and pains but none that I would associate with the shot. The actual shot location is a dark red and about the size of a pencil eraser. Then there is about a 3 Ted area radiating in a straight line down from the shot and anout1/2 wide. It is tender but does not hurt.

2021-03-28

Systemic reaction (other): The area around the shot location is still quite red and not going away. It doesnt bother me but just looks ugly.

2021-03-29

Systemic reaction (other): The shot location is now a big ugly dark red, scabby spot about the size of a dime. Not swollen or sore though.

2021-03-30

Systemic reaction (other): The ugly red spot at the injection site finally turned into a scan which came off when I removed my shirt.

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Shit location a little sore.

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Felt lethargic the past few dsys

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: I have developed a type of aplastic anemia, root cause is still in diagnostic stage.

Healthcare visit (other): In patient blood work & review.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Been having sinus headaches occasionally and haven't had a headache in many year prio to this. Also had a sprained left foot that took a couple of weeks to heal. My arthritis has been remaking havoc but that could partially be due to weather change cut off by CDC

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	Aplastic anaemia	·	·	✓
SD	Arthritis	·	·	✓
SD	Headache	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Ligament sprain	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sensitivity to weather change	·	·	✓
SD	Sinus headache	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site scab	✓	✓	✓
SRO	Injection site swelling	✓	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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