4V6-14809-14150

2 vaccinations 14 coded responses 24 check-ins 14 free-text entries 5 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 537 / WI
Registered: 2021-01-07

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

2021-01-06
Dose 1 — Moderna
2021-01-07
Registered in v-safe
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Peripheral coldness — Feeling: Fair · Site: Pain · Chills, Headache

Free text: Arm a little cold and tingly feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: My neck is just a bit sore when turning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Neck pain, Pain — Feeling: Good · Muscle or body aches

Free text: My neck has been a bit sore on the right side (side of injection). It's just hurts to turn it and makes a pain radiate slightly. My face has also felt a bit warm but I've not had a fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Neck pain, Pain — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: My neck pain on the side of the injection has been sticking around the last few days. It's a sharp pain when turn certain ways but radiates to the top of my head on one side when the pain happens.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain in extremity — Feeling: Good · Joint pains

Free text: Neck pain is gone but my thumb on the arm of injection is just aching and it's quite painful. No issues with this prior to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Thumb joint continues to throb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Joint pains

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-05
Report sent to call center — days 1–6 daily, 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)
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats, Vaccine positive rechallenge — Feeling: Fair · Nausea

Free text: Ive been having consistent night sweats for the last few weeks. It started a week or two after the first dose and then was consistent for about 7 days. Then it stopped and I got the second dose and it started again for the last few days multiple times a night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Night sweats — Feeling: Good

Free text: Still having night sweats and pain behind eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair

Free text: Brain fog has been a thing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 2
MedDRA: Feeling abnormal, Night sweats — Feeling: Good

Free text: Just a bit of brain fog and night sweats last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 2
MedDRA: Dizziness, Night sweats — Feeling: Good

Free text: Just some night sweats and occasional dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 21, dose 2
MedDRA: Body temperature decreased, Diarrhoea, Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Body temp dropped to 94.7 and 95.1, was dizzy and had diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Appendicitis, Appendix disorder, Hernia, Inflammation, Sinus headache — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Abdominal pain, Hernia, irritated/inflamed appendix, sinus headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call successful
Participant prefers to complete VAERS report online
2021-06-07
Call successful
Participant prefers to complete VAERS report online
2021-06-07
Call successful
Participant prefers to complete VAERS report online
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Abdominal pain upper, Flank pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Extreme stomach and abdomen pain. Lasted a few days and caused it to escalate to my right side.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-16
Call 1 — Left Voicemail
2022-02-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-04	Moderna

Call center

5 call center cases

3 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Arm a little cold and tingly feeling

2021-01-08

Systemic reaction (other): My neck is just a bit sore when turning

2021-01-09

Systemic reaction (other): My neck has been a bit sore on the right side (side of injection). It's just hurts to turn it and makes a pain radiate slightly. My face has also felt a bit warm but I've not had a fever.

2021-01-10

Systemic reaction (other): My neck pain on the side of the injection has been sticking around the last few days. It's a sharp pain when turn certain ways but radiates to the top of my head on one side when the pain happens.

2021-01-11

Systemic reaction (other): Neck pain is gone but my thumb on the arm of injection is just aching and it's quite painful. No issues with this prior to vaccine.

2021-01-12

Systemic reaction (other): Thumb joint continues to throb

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Ive been having consistent night sweats for the last few weeks. It started a week or two after the first dose and then was consistent for about 7 days. Then it stopped and I got the second dose and it started again for the last few days multiple times a night.

2021-02-09

Systemic reaction (other): Still having night sweats and pain behind eye.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Brain fog has been a thing.

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Just a bit of brain fog and night sweats last night.

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Just some night sweats and occasional dizziness.

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Body temp dropped to 94.7 and 95.1, was dizzy and had diarrhea

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Abdominal pain, Hernia, irritated/inflamed appendix, sinus headaches.

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Extreme stomach and abdomen pain. Lasted a few days and caused it to escalate to my right side.

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	·	✓
SD	Appendicitis	✓	✓	○
SD	Appendix disorder	·	·	✓
SD	Body temperature decreased	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Flank pain	✓	·	✓
SD	Hernia	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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