YC5-12541-69745

5 vaccinations 10 coded responses 38 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 344 / FL
Registered: 2021-01-09

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Not sure this is related but since receiving the vaccine my stole has been tan in color.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — day 14, dose 1
MedDRA: Cough, Sneezing — Feeling: Good

Free text: Sneezing & couching primarily yesterday and some today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 42, dose 2
MedDRA: C-reactive protein increased — Feeling: Fair

Free text: CReactive Protein went from .11 4/2015 to 5.9, 3 days after 2nd injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Sneezing — Feeling: Poor · 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: Headache, fever, soar throat, achy, cough, sneezing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Call 2 — Left Voicemail
2021-10-28
Dose 3 — Moderna
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Soar throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Dose 4 — Moderna
2022-05-19
Survey response — day 7, dose 4
MedDRA: Injection site bruising — Feeling: Fair

Free text: Bruise at injection site still very prominent a week after vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-25
Survey response — day 42, dose 4
MedDRA: Chest discomfort — Feeling: Good

Free text: Chest discomfort. Appears to be muscular, noticing it when reclining in lounge chair & turning my torso.

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Survey response — 3 months, dose 4
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headache & tired

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-02-27
Dose 5 — Moderna
2023-05-13
Survey response — 12 months, dose 4
MedDRA: Cough, Influenza virus test negative, Office visit, SARS-CoV-2 test negative — Feeling: Good · 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: 2024-11
2023-05-13
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-15
Call 1 — Left Voicemail
2023-05-15
Call 1 — Left Voicemail
2023-05-29
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2021-10-28	Moderna	No
4	2022-05-12	Moderna	No
5	2023-02-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-11	priority 2/3
2021-08-07	Unsuccessful
2023-05-13	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Not sure this is related but since receiving the vaccine my stole has been tan in color.

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Sneezing & couching primarily yesterday and some today.

Release 6 — day 42, dose 2

2021-03-20

Symptoms: CReactive Protein went from .11 4/2015 to 5.9, 3 days after 2nd injection

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Headache, fever, soar throat, achy, cough, sneezing

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Soar throat

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Cold symptoms

Release 11 — day 7, dose 4

2022-05-19

Systemic reaction (other): Bruise at injection site still very prominent a week after vaccination.

Release 12 — day 42, dose 4

2022-06-25

Symptoms: Chest discomfort. Appears to be muscular, noticing it when reclining in lounge chair & turning my torso.

Release 12 — 3 months, dose 4

2022-08-11

Symptoms: Headache & tired

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	C-reactive protein increased	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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