XY6-23848-26375

2 vaccinations 12 coded responses 27 check-ins 12 free-text entries 4 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 731 / OK
Registered: 2020-12-16

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

2020-12-16
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — 0 day, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Muscle spasms — Feeling: Good · Site: Pain, Swelling · Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Nervousness — Feeling: Good · Site: Pain, Swelling · Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-06
Survey response — 7 day, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-13
Survey response — 14 day, dose 1
MedDRA: Dehydration, Insomnia, Migraine, Pre-existing disease, Seizure — Feeling: Fair · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-13
Report sent to call center — 14 day, dose 1
Be unable to work

1 call case(s)
2021-01-20
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — 28 day, dose 1
MedDRA: Cough, Diarrhoea, Fatigue, Medical observation, Nasal congestion, Nasopharyngitis, Nausea, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-27
Survey response — 0 day, dose 2
MedDRA: Diarrhoea, Fatigue, Nasopharyngitis — Feeling: Fair · Fatigue or tiredness, Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-27
Report sent to call center — 28 day, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-02-03
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — 14 day, dose 2
MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-17
Survey response — 21 day, dose 2
MedDRA: Migraine — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-24
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — 3 month, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-28
Report sent to call center — 3 month, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call successful
Participant prefers to complete VAERS report online
2021-07-28
Survey response — 6 month, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · 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

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-07-28
Report sent to call center — 6 month, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-30
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-27
Health check-in — 12 month, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-01-27	Successful	Participant prefers to complete VAERS report online
2021-04-28	Successful 2021-06-08	Participant prefers to complete VAERS report online
2021-07-28	Successful 2021-07-30	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 1

Systemic reaction (other): Fatigue and some spasms. I think some of the fatigue may be related to the vaccine, the rest and the spasms are side effects from a pain medicine.

Systemic reaction (other): It felt like the temperature went up in the house last night. I felt shaky at the time. I hadn't eaten for a while, and felt better after I did. The shaking and diarrhea happen sometimes anyway, but I have never had that kind of sudden hit feeling.

Systemic reaction (other): I think the diarrhea may be due to something I ate.

Systemic reaction (other): The pain is likely related to existing disability, not the vaccine.

Symptoms: Migraine, insomnia, and minor seizures. I believe the migraine is either a residual of an old brain injury or caused by dehydration. The seizures and insomnia are a side effect of Tramadol. I took two 50 mg doses of it six hours apart.

Release 2

Systemic reaction (other): I think the fatigue is because I still have a cold. Diarrhea is somewhat normal for me.

Symptoms: I have the common cold. Stuffy/runny nose, coughing, fatigue, sore throat. Covid 19 antigen and PCR tests were both negative on 23 January and 25 January respectively.I also have had some nausea and diarrhea.Will get 2nd Moderna shot in 30 min.

Healthcare visit (other): PCR test was done in the ER at work.

Release 3

Systemic reaction (other): Symptoms were yesterday evening after the check in, today they are almost gone.

Release 4

Symptoms: Back cramps that began Saturday, peaked in intensity Sunday, and have subsided a bit since then. I niece it's related to an old injury.

Symptoms: Severe migraine on Tuesday.

Release 8

Symptoms: Stuff related to service connected disability. Also joint pain.

Release 9

Symptoms: Increased joint pain, related to service connected disability.

Free-text releases are not linked to a specific 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	Medical observation	○	✓	○
HCVO	Unevaluable event	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	·	✓
SD	Cough	✓	·	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal congestion	✓	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Seizure	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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