YJS-13093-32615

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 468 / IN
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Pain, Sleep talking, Somnambulism — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, talking in my sleep. Sleep walking, my entire body hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Chest pain, Injection site hypoaesthesia, Limb discomfort, Pain in extremity, Paraesthesia, Sleep disorder — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: My left arm where I received the vaccination last night kept me up all night felt like it was going numb and it was heavy as if it was numb and Im having anxiety over it and chest pain and I cant get that to go away nor can I get the arm pain and tingling in the heaviness to go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Emergency care, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Was in hospital last night with super arm pain and chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Myalgia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · 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

Free text: Chest pain, ended up being muscles from left arm chest back and side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
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)
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Aphasia, Fatigue, Memory impairment, Pain, Sinusitis, Weight increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinus infection, always tired, body always hurts, more than before I had COVID. I cant think of words more often while speaking. More forgetful, gained 45 lbs since COVID.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Call 1 — Left Voicemail
2021-08-16
Call successful
Does not wish to fill out VAERS report
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-14	Successful 2021-08-16	Does not wish to fill out VAERS report

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Dizziness, talking in my sleep. Sleep walking, my entire body hurts.

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): My left arm where I received the vaccination last night kept me up all night felt like it was going numb and it was heavy as if it was numb and Im having anxiety over it and chest pain and I cant get that to go away nor can I get the arm pain and tingling in the heaviness to go away

2021-02-13

Systemic reaction (other): Was in hospital last night with super arm pain and chest pain

2021-02-14

Healthcare visit (other): Chest pain, ended up being muscles from left arm chest back and side

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Sinus infection, always tired, body always hurts, more than before I had COVID. I cant think of words more often while speaking. More forgetful, gained 45 lbs since COVID.

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	Chest pain	✓	✓	✓
HCVO	Myalgia	✓	✓	✓
SD	Aphasia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Injection site hypoaesthesia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Sleep talking	✓	✓	✓
SRO	Somnambulism	✓	✓	✓

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