6KM-23730-69983

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

Sex: Male
Age at first dose: 56-60
ZIP prefix: 724 / AR
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pain of skin — Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches

Free text: Tender scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Joint pains

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Free text: Back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 21, dose 1
MedDRA: Chest discomfort, Heart rate irregular, Restlessness, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have a heavy heart beat. I cant get comfortable. My heartbeat is so strong I cant rest. I feel pressure in my chest. Trouble resting · Healthcare visit (other): I went to visit my cardiologist. My ins denied approval of a procedure he recommended

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Dose 2 — Moderna
2021-03-07
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Sluggishness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Free text: Sluggish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-14
Survey response — day 7, dose 2
MedDRA: Palpitations — Feeling: Good · Fatigue or tiredness

Free text: Heart ruthenium

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-06
Survey response — 3 months, dose 2
MedDRA: Asthenia, Fatigue, Somnolence — Feeling: Good

Free text: Tired - sleepy all the time. No energy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Constipation, Fatigue, Headache, Heart rate increased, Hypersomnia, Myalgia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am tired all the time now. I sleep longer hours and require a nap every day. I have constant constipation and have sniffles every day. I have accelerated heart rate from just minor activity. I have muscle aches and frequent headache.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Call 1 — Left Voicemail
2021-09-09
Call 2 — Left Voicemail
2021-09-10
Call 3 — Left Voicemail
2022-03-07
Survey response — 12 months, dose 2
MedDRA: Constipation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-09
Call 1 — Left Voicemail
2022-03-09
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-07	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 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Tender scalp

2021-02-09

Systemic reaction (other): Back pain.

Release 4 — day 21, dose 1

2021-02-26

Symptoms: I have a heavy heart beat. I cant get comfortable. My heartbeat is so strong I cant rest. I feel pressure in my chest. Trouble resting

Healthcare visit (other): I went to visit my cardiologist. My ins denied approval of a procedure he recommended

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Sluggish

Release 5 — day 7, dose 2

2021-03-14

Systemic reaction (other): Heart ruthenium

Release 8 — 3 months, dose 2

2021-06-06

Symptoms: Tired - sleepy all the time. No energy.

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: I am tired all the time now. I sleep longer hours and require a nap every day. I have constant constipation and have sniffles every day. I have accelerated heart rate from just minor activity. I have muscle aches and frequent headache.

Release 11 — 12 months, dose 2

2022-03-07

Symptoms: Constipation

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	Specialist consultation	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Constipation	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Heart rate increased	✓	·	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hypersomnia	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Restlessness	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	Somnolence	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Sluggishness	✓	✓	✓

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