5KZ-96314-32861

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 982 / WA
Registered: 2021-04-29

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

2021-04-29
Registered in v-safe
2021-04-29
Dose 1 — Moderna
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Hangover — Feeling: Fair · Fever · Nausea

Free text: I may have experienced some symptoms from being hung over, today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-13
Survey response — day 14, dose 1
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Sweating at night, around 3 or 4 am.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-27
Dose 2 — Moderna
2021-05-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-05-29
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Chills, Fatigue or tiredness

Free text: My sinuses are blocked and my nose keeps running.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — day 21, dose 2
MedDRA: Rhinorrhoea, Sinus congestion — Feeling: Fair

Free text: Runny nose and clogged sinuses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — day 28, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Restricted breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Sinus disorder, Throat tightness — Feeling: Fair

Free text: My sinuses continue to stuff up several times a day. Breathing is getting more labored and there's a constricted feeling in my throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Survey response — 3 months, dose 2
MedDRA: Cough, Headache, Oropharyngeal discomfort, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Coughing, headache, runny nose, and my throat feels funny.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-25
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've had a hard time breathing. For a while I couldn't go up 1 flight of stairs without having to stop and catch my breath. The doctor gave me inhalers and pills. My nose will dispense snot without notice, like a sanitizer bottle.

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-29	Moderna
2	2021-05-27	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-03

Systemic reaction (other): I may have experienced some symptoms from being hung over, today.

Release 8 — day 14, dose 1

2021-05-13

Symptoms: Sweating at night, around 3 or 4 am.

Release 8 — days 1–6 daily, dose 2

2021-05-29

Systemic reaction (other): My sinuses are blocked and my nose keeps running.

Release 9 — day 21, dose 2

2021-06-17

Symptoms: Runny nose and clogged sinuses.

Release 9 — day 28, dose 2

2021-06-28

Symptoms: Restricted breathing.

Release 9 — day 35, dose 2

2021-07-01

Symptoms: My sinuses continue to stuff up several times a day. Breathing is getting more labored and there's a constricted feeling in my throat.

Release 9 — 3 months, dose 2

2021-08-26

Symptoms: Coughing, headache, runny nose, and my throat feels funny.

Release 10 — 6 months, dose 2

2021-11-25

Symptoms: I've had a hard time breathing. For a while I couldn't go up 1 flight of stairs without having to stop and catch my breath. The doctor gave me inhalers and pills. My nose will dispense snot without notice, like a sanitizer bottle.

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	Cough	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Oropharyngeal discomfort	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SRO	Hangover	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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