4XZ-19984-42397

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 956 / CA
Registered: 2021-03-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Tingling and weakness in fingers on same hand as injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — day 14, dose 1
MedDRA: Fatigue, Nasopharyngitis, Oropharyngeal pain — Feeling: Good

Free text: Caught my son's cold. We tested him and it was not COVID. Felt tired with a sore throat but feeling better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 21, dose 1
MedDRA: Chest discomfort, Nasopharyngitis — Feeling: Good

Free text: Caught child's cold (not COVID) a week after first vaccine. This week felt tightness in chest and used my inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Inappropriate affect — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: 2 bouts of random unexplained laughter. Like what happened with laughing gas Even my 8 year old son thought it was weird but I literally could not help it despite my efforts. Really odd...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 21, dose 2
MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Poor

Free text: I now have symptoms consistent with the common cold. Likely caught it from my unvaccinated children. Kids had high temp and nausea. I just have runny nose and congestion with a lot of post nasal drip. Hoping to get tested for covid-19 and flu tomorro

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat and runny nose. Feels like the cold I just got rid of (possibly Adenovirus or human Parainfluenza virus 3). Bummer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Slight sore this morning.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Could Not Reach Participant
2021-07-29
Call 2 — Could Not Reach Participant
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · 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: Sore throat and runny nose, but was rested and it was not COVID.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-15
Call 1 — Could Not Reach Participant
2021-10-20
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Tingling and weakness in fingers on same hand as injection.

Release 6 — day 14, dose 1

2021-04-04

Symptoms: Caught my son's cold. We tested him and it was not COVID. Felt tired with a sore throat but feeling better now.

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Caught child's cold (not COVID) a week after first vaccine. This week felt tightness in chest and used my inhaler.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): 2 bouts of random unexplained laughter. Like what happened with laughing gas Even my 8 year old son thought it was weird but I literally could not help it despite my efforts. Really odd...

Release 8 — day 21, dose 2

2021-05-06

Symptoms: I now have symptoms consistent with the common cold. Likely caught it from my unvaccinated children. Kids had high temp and nausea. I just have runny nose and congestion with a lot of post nasal drip. Hoping to get tested for covid-19 and flu tomorro cut off by CDC

Release 8 — day 42, dose 2

2021-05-30

Symptoms: Sore throat and runny nose. Feels like the cold I just got rid of (possibly Adenovirus or human Parainfluenza virus 3). Bummer.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Slight sore this morning.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Sore throat and runny nose, but was rested and it was not COVID.

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	Chest discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Inappropriate affect	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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