68B-20253-94295

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 287 / NC
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Loose stools

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-11
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizzyness for a few seconds at bedtime.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-27
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, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: BP up: 151/92 usually 115/67, temp down 96.6, chest congestion, no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: BP near norm 119/74, Fasting sugar high 123, usually 103

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Decreased appetite, Insomnia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Abdominal pain gets a little better and then gets worse. Very little appetite. Problem sleeping because of pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Decreased appetite, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Intestinal pain, nausea. Low appetite. · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-27
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Back pain, Fatigue, Inflammation, Self-medication, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tiredness. It took approximately 5 weeks to somewhat recover from abdominal pain believed to have been caused by inflammation, UTI and lower back pain. Recovery involved taking aspirin, antibiotics, probiotics and large amounts of water.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal discomfort.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Call 1 — Left Voicemail
2021-12-21
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-26	Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Loose stools

Release 5 — day 14, dose 1

2021-03-11

Symptoms: Dizzyness for a few seconds at bedtime.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): BP up: 151/92 usually 115/67, temp down 96.6, chest congestion, no appetite

2021-04-01

Systemic reaction (other): BP near norm 119/74, Fasting sugar high 123, usually 103

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Abdominal pain gets a little better and then gets worse. Very little appetite. Problem sleeping because of pain.

Release 8 — day 35, dose 2

2021-05-02

Symptoms: Intestinal pain, nausea. Low appetite.

Healthcare visit (other): Primary care physician

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: Tiredness. It took approximately 5 weeks to somewhat recover from abdominal pain believed to have been caused by inflammation, UTI and lower back pain. Recovery involved taking aspirin, antibiotics, probiotics and large amounts of water.

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Abdominal discomfort.

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	Abdominal discomfort	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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