YKD-22329-77009

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 953 / CA
Registered: 2021-02-28

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

2021-02-27
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: It is spring allergy season, here.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Starting Friday afternoon I devotes a low grade fever, after a period of 7 days with no fever. Fever is between 98.9 and 100.1 fatigue has again set in. I have followed full COVID restrictions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Fever · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lower middle back pain, both sides of spine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Site: Swelling · Fever · Headache, Fatigue or tiredness

Free text: Allergies are slightly more pronounced, I required a nebulizer (albuterol) breathing treatment prior to bed. This is somewhat normal for this time of the year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — day 7, dose 2
MedDRA: Exercise tolerance decreased, Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Very mild fatigue, I usually walk several miles each day. Today I was tired after one mile but an improvement. Tiredness recovered quickly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-03-31
Dose 3 — Moderna
2022-04-03
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Post shot mild fever next day

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-07
Health check-in — day 7, dose 3
Feeling: Good · Headache, Joint pains

Adult check-in
2022-04-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-04-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-05-05
Survey response — day 35, dose 3
MedDRA: Blood pressure increased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Higher than normal blood pressure. Now using medication to stabilize · Healthcare visit (other): BP check

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

1 call case(s)
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-06-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna
3	2022-03-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-05	Successful 2022-05-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): night sweats

2021-03-02

Systemic reaction (other): Night sweats

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): It is spring allergy season, here.

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Starting Friday afternoon I devotes a low grade fever, after a period of 7 days with no fever. Fever is between 98.9 and 100.1 fatigue has again set in. I have followed full COVID restrictions.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Lower middle back pain, both sides of spine

2021-04-01

Systemic reaction (other): Allergies are slightly more pronounced, I required a nebulizer (albuterol) breathing treatment prior to bed. This is somewhat normal for this time of the year.

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): Very mild fatigue, I usually walk several miles each day. Today I was tired after one mile but an improvement. Tiredness recovered quickly.

Release 11 — days 1–6 daily, dose 3

2022-04-03

Systemic reaction (other): Post shot mild fever next day

Release 11 — day 35, dose 3

2022-05-05

Symptoms: Higher than normal blood pressure. Now using medication to stabilize

Healthcare visit (other): BP check

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	Unevaluable event	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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