JDT-12980-86087

4 vaccinations 6 coded responses 30 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 453 / OH
Registered: 2021-03-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

UY3-80064-57571 Adult relative or friend · Female · 2021-08-30

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-24
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — day 14, dose 1
MedDRA: Ear discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Something with my ear, feels like it's waterlogged but there's no reason for it to be going to clinic to have it checked out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — day 21, dose 1
MedDRA: Neck pain — Feeling: Good

Free text: Neck is sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Dose 2 — Moderna
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 21, dose 2
MedDRA: Mobility decreased, Neck pain — Feeling: Fair

Free text: Neck is still sore and achy with limited mobility

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 28, dose 2
MedDRA: Mobility decreased, Neck pain — Feeling: Fair

Free text: Neck still sore and achy with limited mobility

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 35, dose 2
MedDRA: Mobility decreased, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Neck continues to be sore and achy with limited mobility · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Survey response — day 42, dose 2
MedDRA: Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Neck still achy and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Dose 3 — Moderna
Co-administered: Tetanus
2021-12-15
Call 1 — Could Not Reach Participant
2021-12-28
Call 2 — Could Not Reach Participant
2022-01-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
Co-administered: Flu
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-09-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-22	Moderna	Tetanus
4	2022-09-09	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-07	Unsuccessful
2021-05-26	Unsuccessful
2021-06-04	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Something with my ear, feels like it's waterlogged but there's no reason for it to be going to clinic to have it checked out

Release 7 — day 21, dose 1

2021-04-14

Symptoms: Neck is sore

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Neck is still sore and achy with limited mobility

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Neck still sore and achy with limited mobility

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Neck continues to be sore and achy with limited mobility

Healthcare visit (other): Chiropractor

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Neck still achy and sore

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	Ear discomfort	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Neck pain	✓	✓	✓

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