YQ7-13671-88079

4 vaccinations 4 coded responses 31 check-ins 4 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 860 / AZ
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — day 14, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work

Free text: The vaccine seems to have triggered a severe arthritis bought and muscle spasms. I did not take my arthritis medication which I use for a flare till today after flare made it impossible to work. Only miss the one day of work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 14, dose 1
Be unable to work

1 call case(s)
2021-01-19
Survey response — day 21, dose 1
MedDRA: Illness, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work

Free text: I tested positive for COVID-19 on Friday started getting sick on Sunday. Test was done so I could travel and received results on Monday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Moderna
Co-administered: Flu
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-14
Survey response — day 21, dose 4
MedDRA: Arthritis, Headache, Pre-existing disease — Feeling: Good · Be unable to work or attend school

Free text: Had arthritis flare and severe headaches which cleared yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-23
Survey response — 3 months, dose 4
MedDRA: Influenza like illness, Unevaluable event — Feeling: Fair

Free text: Flu like symptoms gastrointestinal

MedDRA releases: 2024-11 · check-in free text available
2023-03-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-28	Moderna
3	2021-10-28	Moderna	No
4	2022-09-23	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-01-03	priority 2/3
2021-01-04	priority 2/3
2021-01-05	priority 2/3
2021-01-12	priority 2/3

Free text

Release 1 — day 14, dose 1

2021-01-12

Symptoms: The vaccine seems to have triggered a severe arthritis bought and muscle spasms. I did not take my arthritis medication which I use for a flare till today after flare made it impossible to work. Only miss the one day of work

Release 2 — day 21, dose 1

2021-01-19

Symptoms: I tested positive for COVID-19 on Friday started getting sick on Sunday. Test was done so I could travel and received results on Monday

Release 12 — day 21, dose 4

2022-10-14

Symptoms: Had arthritis flare and severe headaches which cleared yesterday

Release 12 — 3 months, dose 4

2022-12-23

Symptoms: Flu like symptoms gastrointestinal

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
SD	Arthritis	·	·	✓
SD	Headache	·	·	✓
SD	Illness	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Unevaluable event	·	·	✓

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