YC9-22349-75041

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 5 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 015 / MA
Registered: 2021-01-22

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Medical observation, Oropharyngeal discomfort, Self-medication, Sensation of foreign body — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Felt lump/ fullness in throat 15 minutes after. Drank water then after an hour took 25mg Benadryl and drive home 1/2 hour to 1 hour later. When got home thrust symptom resolved · Healthcare visit (other): Benadyl from coworker and they monitored me at least 1 hour. Symptom never progressed and felt better while drinking liquid or a hard candy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Nausea

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Nausea — Feeling: Good

Free text: Sick to stomach ? From bad food. Nausea and loose stool couple days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

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

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — day 14, dose 2
MedDRA: Chills, Headache, Nausea, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bodyaches, chills nausea, headaches still. Am a kidney tablet patient. You should br monitoring us and health conditions need to be on the questionnaire

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Dizziness, Fatigue, Headache, Pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still dizzy, bodyaches and headaches. Old concussion symptoms flared. Remember I'm kidney transplant recipient. This AM bodyaches like less. Super fatigued daily · Healthcare visit (other): Neg covid test, sending e messages

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-03-24
Survey response — day 28, dose 2
MedDRA: Headache, Nausea, 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: Still some bodyachd and headache, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
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)
2021-03-31
Survey response — day 35, dose 2
MedDRA: Dizziness, Fatigue, Headache, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache x 1-2 days but fatigue, bodyaches which were daily along with headaches are much improved . Had stone dizziness with headache few days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Call 1 — Left Voicemail
2021-04-08
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Reexacerbation of old neuropathy in hands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Hypoaesthesia, Pre-existing disease — 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, Hospitalization

Free text: Numbess starting end of March, send like exacerbation of old neuropathies mostly left hand but done in feet and right hand. Had c spine fusions to try to alleviate 5/3/21 but symptoms still left hand. ? If vaccine bright out my old neuropathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, 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)
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Hypoaesthesia, Myelopathy, Spinal operation — Feeling: Fair · Be unable to work or attend school, 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, Hospitalization

Free text: Had c spine surgery for hand numbness myelopathy but question if wasn't from the disc issue. Started 5 week3 after the vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
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)
2021-08-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-23	Unsuccessful
2021-03-24	Unsuccessful
2021-04-08	Unsuccessful
2021-05-26	Unsuccessful
2021-08-27	Unsuccessful

1 report(s) with no call case — see the timeline.

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Felt lump/ fullness in throat 15 minutes after. Drank water then after an hour took 25mg Benadryl and drive home 1/2 hour to 1 hour later. When got home thrust symptom resolved

Healthcare visit (other): Benadyl from coworker and they monitored me at least 1 hour. Symptom never progressed and felt better while drinking liquid or a hard candy

Release 4 — day 21, dose 1

2021-02-14

Symptoms: Sick to stomach ? From bad food. Nausea and loose stool couple days

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Bodyaches, chills nausea, headaches still. Am a kidney tablet patient. You should br monitoring us and health conditions need to be on the questionnaire

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Still dizzy, bodyaches and headaches. Old concussion symptoms flared. Remember I'm kidney transplant recipient. This AM bodyaches like less. Super fatigued daily

Healthcare visit (other): Neg covid test, sending e messages

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Still some bodyachd and headache, nausea

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Headache x 1-2 days but fatigue, bodyaches which were daily along with headaches are much improved . Had stone dizziness with headache few days ago

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Reexacerbation of old neuropathy in hands.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Numbess starting end of March, send like exacerbation of old neuropathies mostly left hand but done in feet and right hand. Had c spine fusions to try to alleviate 5/3/21 but symptoms still left hand. ? If vaccine bright out my old neuropathy

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Had c spine surgery for hand numbness myelopathy but question if wasn't from the disc issue. Started 5 week3 after the vaccine

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	Medical observation	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Myelopathy	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Spinal operation	✓	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓

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