54M-26809-95842

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 980 / WA
Registered: 2021-02-11

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

2021-01-14
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Have had a headache in the mornings scones and goes Minor one. Not a migraine type

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 28, dose 2
MedDRA: Headache, Musculoskeletal stiffness, Respiratory tract congestion, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache. Stiff Armand leg joints Also head is stuffy. Allergies meds not getting rid of symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 35, dose 2
MedDRA: Paraesthesia oral, Wheezing — Feeling: Fair

Free text: I have developed a wheezing in my lungs. Also get a tingling sensation in myTongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 42, dose 2
MedDRA: Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have a constant sinus issue. Have been told it is not from allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Decreased appetite, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Was running a fever for a few days and felt body ache. Had no appetite

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Dose 3 — Moderna
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-08
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-15
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-09-22
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I seem to have a constant body ache in the joints

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-06
Survey response — day 35, dose 3
MedDRA: Arthralgia, Bone pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still have aches in the bones and joints. Was not there before

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 42, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still have the joint pain that I never had before

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Gout, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had gout show up again

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Call successful
Participant prefers to complete VAERS report online
2022-03-02
Survey response — 6 months, dose 3
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Still getting headaches

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-09-01	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Stuffy nose

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Have had a headache in the mornings scones and goes Minor one. Not a migraine type

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Headache. Stiff Armand leg joints Also head is stuffy. Allergies meds not getting rid of symptoms

Release 5 — day 35, dose 2

2021-03-18

Symptoms: I have developed a wheezing in my lungs. Also get a tingling sensation in myTongue

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Have a constant sinus issue. Have been told it is not from allergies

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Was running a fever for a few days and felt body ache. Had no appetite

Release 9 — day 21, dose 3

2021-09-22

Symptoms: I seem to have a constant body ache in the joints

Release 10 — day 35, dose 3

2021-10-06

Symptoms: Still have aches in the bones and joints. Was not there before

Release 10 — day 42, dose 3

2021-10-13

Symptoms: Still have the joint pain that I never had before

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: I have had gout show up again

Release 11 — 6 months, dose 3

2022-03-02

Symptoms: Still getting headaches

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	Arthralgia	·	·	✓
SD	Bone pain	·	·	✓
SD	Decreased appetite	✓	·	✓
SD	Gout	·	·	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain	✓	·	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓

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