4YY-18252-71767

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 378 / TN
Registered: 2021-02-18

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

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-18
Survey response — day 0, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: Ached like a flu shot...started about 3 hours after ijection...lasted about 3 hours now subsiding...nearly gone after 7 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Fatigue, Hypersomnia, Pre-existing disease — Feeling: Good

Free text: This week and looking back over the last 3 weeks I have been much more fatigued than usual. Falling asleep midday and tired early evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Dose 2 — Moderna
2021-03-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Pain at injection site almost gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: International normalised ratio decreased — Feeling: Fair

Free text: I take warfarin and my INR dropped from 2.3 to 1.6 after taking the second vaccine shot on 3/18. My INR has been steady between 2.2 and 2.7 for a long time now taking 7.5 4 days and 5.0 3 days a week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Did not take INR today...will recheck tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: INR back to normal after taking some additional warfarin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Cyst, Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cysts seemed to enlarge, other lymph glands enlarged then all retirned to normal after a few days · Healthcare visit (other): Office visit with doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy, Office visit, Prostatic specific antigen increased — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen glands, elevated PSA test · Healthcare visit (other): Dr office visits

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Call 1 — Could Not Reach Participant
2021-09-22
Call successful
Participant prefers to complete VAERS report online
2022-03-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-18	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-18

Systemic reaction (other): Ached like a flu shot...started about 3 hours after ijection...lasted about 3 hours now subsiding...nearly gone after 7 hours

Release 5 — day 21, dose 1

2021-03-11

Symptoms: This week and looking back over the last 3 weeks I have been much more fatigued than usual. Falling asleep midday and tired early evening.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Pain at injection site almost gone

2021-03-23

Systemic reaction (other): I take warfarin and my INR dropped from 2.3 to 1.6 after taking the second vaccine shot on 3/18. My INR has been steady between 2.2 and 2.7 for a long time now taking 7.5 4 days and 5.0 3 days a week

2021-03-24

Systemic reaction (other): Did not take INR today...will recheck tomorrow

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): INR back to normal after taking some additional warfarin

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Cysts seemed to enlarge, other lymph glands enlarged then all retirned to normal after a few days

Healthcare visit (other): Office visit with doctor

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Swollen glands, elevated PSA test

Healthcare visit (other): Dr office visits

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	Cyst	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Prostatic specific antigen increased	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	International normalised ratio decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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