4YK-21325-17433
3 vaccinations
9 coded responses
34 check-ins
8 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 236 / VA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiffness not pain around the injection site. Don't know about any fever but have not felt any reason to check.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just a bit sore on the arm, nothing an ibuprofen doesnt fix.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Vomiting, DiarrheaFree text: But Im sure that it was unrelated to the vaccine. I also have diabetes and think I might be experiencing some kidney issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I feel better today than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-05-12
Survey response — 3 months, dose 2MedDRA: Transient ischaemic attack — Feeling: Good · Be unable to workFree text: TIA but dont think its related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-11
Survey response — 6 months, dose 2MedDRA: Cerebrovascular accident — Feeling: Good · Be unable to work or attend schoolFree text: April minor strokeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-01-20
Dose 3 — Moderna
-
2022-02-01
Health check-in — day 7, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-02-03
Survey response — day 14, dose 3MedDRA: Anaphylactic reaction — Feeling: Fair · Be unable to work or attend schoolFree text: I had an anaphylactic episode Tuesday 1 February. Not suggesting it is related. But I have not had any issues with allergies in my 60 years on the planet. Had one several months ago. Same thingMedDRA releases: 2024-11 · check-in free text available
- 2022-02-10
- 2022-02-17
- 2022-02-24
- 2022-03-03
-
2022-04-21
Survey response — 3 months, dose 3MedDRA: Anaphylactic reaction, Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I have some A-Fib and have had three anaphylactic episodes. I've never had any issues with those before.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-04-22
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-21
-
2023-01-20
Survey response — 12 months, dose 3MedDRA: Transient ischaemic attack — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-01-20
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2023-01-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2022-01-20 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Stiffness not pain around the injection site. Don't know about any fever but have not felt any reason to check.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just a bit sore on the arm, nothing an ibuprofen doesnt fix.
Systemic reaction (other): But Im sure that it was unrelated to the vaccine. I also have diabetes and think I might be experiencing some kidney issues.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I feel better today than yesterday
Release 8 — 3 months, dose 2
Symptoms: TIA but dont think its related to the vaccine
Release 9 — 6 months, dose 2
Symptoms: April minor stroke
Release 11 — day 14, dose 3
Symptoms: I had an anaphylactic episode Tuesday 1 February. Not suggesting it is related. But I have not had any issues with allergies in my 60 years on the planet. Had one several months ago. Same thing
Release 11 — 3 months, dose 3
Symptoms: I have some A-Fib and have had three anaphylactic episodes. I've never had any issues with those before.
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 | Anaphylactic reaction | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Cerebrovascular accident | ✓ | · | ✓ |
| SD | Transient ischaemic attack | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release