YBB-28333-62829

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 5 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 322 / FL
Registered: 2021-01-10

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

Timeline

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

2021-01-10
Registered in v-safe
2021-01-10
Dose 1 — Moderna
2021-01-10
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Lips tingle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Back right side of my neck is in pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, 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)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-17
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-02-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Right side of neck has been bad for awhile. Feels like a lymph node is swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain, Nodule — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Right side of neck still stiff and knotted. Painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-28
Call 1 — Left Voicemail
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 42, dose 2
MedDRA: Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right side upper neck still lingering around since first dose. Past few days it has really been painful. Feels knotted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Cough, Myalgia, Pain, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, 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

Free text: Bad cough, upper respiratory problems, sore body and muscles. Been tested multiple times for Covid but all negative

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-16
Call 1 — Left Voicemail
2022-02-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Moderna
2	2021-02-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	Unsuccessful
2021-01-13	Unsuccessful
2021-01-14	Unsuccessful
2021-02-14	Unsuccessful
2021-08-11	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-10

Systemic reaction (other): Lips tingle

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Back right side of my neck is in pain.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Right side of neck has been bad for awhile. Feels like a lymph node is swollen

2021-02-16

Systemic reaction (other): Right side of neck still stiff and knotted. Painful

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Right side upper neck still lingering around since first dose. Past few days it has really been painful. Feels knotted.

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Bad cough, upper respiratory problems, sore body and muscles. Been tested multiple times for Covid but all negative

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	Cough	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	·	✓
SD	Respiratory disorder	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓

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