YME-13651-49411

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 636 / MO
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Some of the symptoms you listed I tend to have related to other conditions so I can't fully say it is do to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Again as yesterday some of my symptoms may be related to other conditions such as sinus problems that I regularly have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Peripheral swelling — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: The symptoms are very mild I perceive mild swelling as compared to other arm... I still know that my symptoms may be related to sinusitis that I often struggle with. My headaches are very short lived less than 5 minutes and not more than twice per day and believe do to on going sinus issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: I get pretty good... Headaches for only a few minutes but again I think related to sinus and allergies. I have also been dealing with other personal issues that could relate the fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Everything is much better and as I stated before I know some issues were probably related to other conditions other than I know the sore arm was from the shot that lasted 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Fatigue, Mucosal discolouration, Oropharyngeal pain, Paranasal sinus hypersecretion, Sinusitis — Feeling: Poor

Free text: Thick yellow nasal mucus with blood and feeling exhausted and I assume sinus drainage causing sore throat... Could all be sinusitis. I did not go to work or doctor because I had other pressing family matters.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 1
MedDRA: Cough, Discharge, Fatigue, Headache, Office visit, Paranasal sinus hypersecretion, Respiratory tract congestion, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Apparently I have a sinus infection that started last Wednesday with progressive worsening symptoms: fatigue, congestion, drainage, headaches, and cough. I went to the doctor and was prescribed azithromycin (Zpak) and felt much better after my first · Healthcare visit (other): I went to primary fnp and was not offered testing but prescribed azithromycin and was told if not better in a few days call her back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Abdominal pain

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Swelling · Fever · Headache

Free text: I am working today in a warm environment so symptoms may be related to that plus I am fat and out of shape.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-06
Survey response — day 7, dose 2
MedDRA: Gastrointestinal disorder, Headache, Injection site pain, Pre-existing disease, Sinus disorder — Feeling: Good · Fever · Headache

Free text: As with my first dose most of my symptoms can be related to other conditions... Headaches only last moments I have sinus issues and I have occasional abdominal issues related to IBS... With second dose my main issue was pain at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Fatigue, Pre-existing disease, Sleep deficit, Temperature intolerance — Feeling: Fair

Free text: It probably related to heat stress, lack of sleep, and celiac disease... I bloated and uncomfortable... But I sometimes wonder if those of us that got vaccinations are more tired than others.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-22	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Some of the symptoms you listed I tend to have related to other conditions so I can't fully say it is do to the vaccine.

2021-04-03

Systemic reaction (other): Again as yesterday some of my symptoms may be related to other conditions such as sinus problems that I regularly have.

2021-04-04

Systemic reaction (other): The symptoms are very mild I perceive mild swelling as compared to other arm... I still know that my symptoms may be related to sinusitis that I often struggle with. My headaches are very short lived less than 5 minutes and not more than twice per day and believe do to on going sinus issues.

2021-04-05

Systemic reaction (other): I get pretty good... Headaches for only a few minutes but again I think related to sinus and allergies. I have also been dealing with other personal issues that could relate the fatigue

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Everything is much better and as I stated before I know some issues were probably related to other conditions other than I know the sore arm was from the shot that lasted 3 days.

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Thick yellow nasal mucus with blood and feeling exhausted and I assume sinus drainage causing sore throat... Could all be sinusitis. I did not go to work or doctor because I had other pressing family matters.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Apparently I have a sinus infection that started last Wednesday with progressive worsening symptoms: fatigue, congestion, drainage, headaches, and cough. I went to the doctor and was prescribed azithromycin (Zpak) and felt much better after my first cut off by CDC

Healthcare visit (other): I went to primary fnp and was not offered testing but prescribed azithromycin and was told if not better in a few days call her back.

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): I am working today in a warm environment so symptoms may be related to that plus I am fat and out of shape.

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): As with my first dose most of my symptoms can be related to other conditions... Headaches only last moments I have sinus issues and I have occasional abdominal issues related to IBS... With second dose my main issue was pain at injection site.

Release 9 — day 42, dose 2

2021-06-11

Symptoms: It probably related to heat stress, lack of sleep, and celiac disease... I bloated and uncomfortable... But I sometimes wonder if those of us that got vaccinations are more tired than others.

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	Cough	✓	✓	✓
SD	Discharge	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Mucosal discolouration	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Sleep deficit	✓	✓	✓
SD	Temperature intolerance	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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