YYM-77849-63295

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 4 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 900 / CA
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 21, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-02-23
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Exercise tolerance decreased, Fatigue, Wheezing — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath with wheezing, during activities, which did not correlate appropriately with the level of exertion. Shorter endurance. Quicker exhaustion, during exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Nasal congestion, Pre-existing disease, Rhinorrhoea — Feeling: Good

Free text: I have lots of snot production, needing to blow my nose with a lot of mucus resulting, every day. No other symptoms suggesting allergies are the cause and have not had this type of behavior in the past.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Chills, Diarrhoea, Pain, Pyrexia — Feeling: Poor · Be unable to work

Free text: Fever, chills, extreme diarrhea, body aches, stomach ache, et.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Muscle spasms — Feeling: Poor · Be unable to work

Free text: Diarrhea and severe cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Office visit — 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: Symptoms: Diarrhea · Healthcare visit (other): G.I. Specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-15
Call 1 — Left Voicemail
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Drug hypersensitivity — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Allergic reaction to medicine that did not previously cause such a reaction.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2022-02-24
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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

Free text: Caught covid.

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-25
Call 1 — Could Not Reach Participant
2022-03-02
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-23	Unsuccessful
2021-04-06	Unsuccessful
2021-08-26	Unsuccessful
2022-02-24	Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Diarrhea

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Shortness of breath with wheezing, during activities, which did not correlate appropriately with the level of exertion. Shorter endurance. Quicker exhaustion, during exercise.

Release 5 — day 14, dose 2

2021-03-09

Symptoms: I have lots of snot production, needing to blow my nose with a lot of mucus resulting, every day. No other symptoms suggesting allergies are the cause and have not had this type of behavior in the past.

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Fever, chills, extreme diarrhea, body aches, stomach ache, et.

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Diarrhea and severe cramps.

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Diarrhea

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Diarrhea

Healthcare visit (other): G.I. Specialist

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Allergic reaction to medicine that did not previously cause such a reaction.

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Caught 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	Office visit	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Drug hypersensitivity	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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