YAR-51379-71873

3 vaccinations 16 coded responses 32 check-ins 16 free-text entries 5 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 980 / WA
Registered: 2021-02-04

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

Timeline

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

2021-02-02
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 1
MedDRA: Breath odour, Nausea, Pyrexia — Feeling: Fair

Free text: Little Nausea and feverish feeling with bad mouth smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Dose 2 — Moderna
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: I feel my aches in all joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper — Feeling: Good · Abdominal pain

Free text: Mild pain in stomach all the time since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headache and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 42, dose 2
MedDRA: Cough, Gastrooesophageal reflux disease — Feeling: Fair

Free text: Acid reflux, light reflux cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Chest pain, Electrocardiogram abnormal, Emergency care — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Chest pain and changes in EKG resulting in emergency room visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Remain tired and low on enervy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Mild pain around chest

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Persistent Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Persisting chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 7, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 14, dose 3
MedDRA: Arthralgia, Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest and joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-16
Call 3 — Could Not Reach Participant
2021-12-18
Call 3 — Could Not Reach Participant
2021-12-23
Survey response — day 21, dose 3
MedDRA: Arthralgia, Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pain and chest joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-23
Call X — Could Not Reach Participant
2021-12-27
Call 3 — Could Not Reach Participant
2021-12-30
Call X — Could Not Reach Participant
2022-01-05
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-06
Call 1 — Could Not Reach Participant
2022-01-11
Call 2 — Could Not Reach Participant
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-02
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Poor · 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

Free text: Covid and related symptomps

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-12-05
Call 1 — Could Not Reach Participant
2022-12-05
Call 1 — Could Not Reach Participant
2022-12-05
Call 1 — Could Not Reach Participant
2022-12-05
Call 3 — Could Not Reach Participant
2022-12-05
Call 1 — Could Not Reach Participant
2022-12-06
Call 2 — Could Not Reach Participant
2022-12-06
Call 2 — Could Not Reach Participant
2022-12-06
Call 2 — Could Not Reach Participant
2022-12-06
Call X — Could Not Reach Participant
2022-12-06
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-02-26	Moderna
3	2021-12-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-30	Unsuccessful
2021-12-15	Unsuccessful
2021-12-23	Unsuccessful
2022-01-05	Unsuccessful
2022-12-02	Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Little Nausea and feverish feeling with bad mouth smell

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): I feel my aches in all joints

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Mild pain in stomach all the time since vaccine

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Headache and fatigue

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Acid reflux, light reflux cough

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Chest pain and changes in EKG resulting in emergency room visit.

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Remain tired and low on enervy

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Mild pain around chest

2021-12-05

Systemic reaction (other): Persistent Chest pain

2021-12-06

Systemic reaction (other): Persisting chest pain

2021-12-07

Systemic reaction (other): Moderate chest pain

Release 10 — day 7, dose 3

2021-12-08

Systemic reaction (other): Moderate chest pain

Release 10 — day 14, dose 3

2021-12-15

Symptoms: Chest and joint pain

Release 10 — day 21, dose 3

2021-12-23

Symptoms: Joint pain and chest joint pain

Release 10 — day 35, dose 3

2022-01-05

Symptoms: Joint pain

Release 12 — 12 months, dose 3

2022-12-02

Symptoms: Covid and related symptomps

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
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	·	✓
SD	Breath odour	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Electrocardiogram abnormal	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest pain	·	·	✓

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