Y3A-20188-40909

2 vaccinations 11 coded responses 18 check-ins 11 free-text entries 4 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 554 / MN
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Muscle strain — Feeling: Good · Muscle or body aches

Free text: Fatigue in Chest Muscles. Similar to after workout strain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Myalgia — Feeling: Good · Muscle or body aches

Free text: Chest Muscles ache as if I've been lifting weights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle fatigue, Muscle strain — Feeling: Good · Muscle or body aches

Free text: Chest muscles feel fatigued, and strained as if I had been lifting weights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Non-cardiac chest pain — Feeling: Good · Muscle or body aches

Free text: Chest muscles feel as though I've been lifting weights.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 1
MedDRA: Muscle tightness — Feeling: Good · Muscle or body aches

Free text: Tight chest muscles. Feel as if I have been lifting weights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 21, dose 1
MedDRA: Chest pain, Cough, Muscle strain, Myalgia — Feeling: Good

Free text: Pain in my chest muscles continues. Feels as though I've strained them, and hurts if I cough or sneeze. Doesn't seem to be getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 28, dose 1
MedDRA: Chest pain, Inflammation — Feeling: Good

Free text: Inflamation in chest cartilage. Hurts badly if I sneeze or cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Moderna
2021-04-13
Survey response — day 7, dose 2
MedDRA: Chest pain, Office visit — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pain in sternum joints · Healthcare visit (other): Saw Primary Care Physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in sternum where ribs join

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 35, dose 2
MedDRA: Chest pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Costochrondritis chest/sternum pain · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
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)
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Metastasis, Neoplasm malignant — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Metastisizing Cancer

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-10-05
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-31	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-13	Successful	Participant prefers to complete VAERS report online
2021-04-29	Successful	Participant prefers to complete VAERS report online
2021-05-05	Successful	Participant prefers to complete VAERS report online
2021-10-01	Successful 2021-10-05	Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Fatigue in Chest Muscles. Similar to after workout strain

2021-03-05

Systemic reaction (other): Chest Muscles ache as if I've been lifting weights

2021-03-07

Systemic reaction (other): Chest muscles feel fatigued, and strained as if I had been lifting weights

2021-03-08

Systemic reaction (other): Chest muscles feel as though I've been lifting weights.

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): Tight chest muscles. Feel as if I have been lifting weights

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Pain in my chest muscles continues. Feels as though I've strained them, and hurts if I cough or sneeze. Doesn't seem to be getting better.

Release 6 — day 28, dose 1

2021-03-30

Symptoms: Inflamation in chest cartilage. Hurts badly if I sneeze or cough.

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Pain in sternum joints

Healthcare visit (other): Saw Primary Care Physician

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Pain in sternum where ribs join

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Costochrondritis chest/sternum pain

Healthcare visit (other): Doctor visit

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Metastisizing Cancer

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	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Metastasis	·	·	✓
SD	Muscle strain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neoplasm malignant	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Muscle fatigue	✓	✓	✓
SRO	Muscle strain	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Non-cardiac chest pain	✓	✓	✓

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