ZBH-23658-97279

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 31-35
ZIP prefix: 065 / CT
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-11
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased interest, Dizziness, Lethargy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Feeling "woozy" after doing chores like washing dishes and taking the trash out. Almost like standing up too fast and getting light headed but not as severe. Also I feel lethargic and uninterested in doing daily tasks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Agitation — Feeling: Good

Free text: Unknown if side effect or quarantine life, but agitated more so than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Just feel "sick" but it could be from having to work overnight when I normally work first shift. Plus well the rest of the house has what appears to be a cold (nasal pcr test pending)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 7, dose 1
MedDRA: Coronavirus test, Nasopharyngitis, SARS-CoV-2 test — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: My child is sick so while we await our COVID-19 test results, we think it is just a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Injection site pain, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: I have diarrhea today, but I cannot necessarily contribute that to the vaccine. I also am on the tail end of a cold after testing negative for COVID-19. I will say the inject site felt sore today, but if I had to rate it from 0 to 10 I'd say 0.25.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Decreased appetite, Pain, Pre-existing disease, Trismus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lack of appetite, last night my TMJ was acting up and prevented me from opening my mouth beyond half way. This is only the second time in my life this has happened. Overall I feel like a bus ran me over three to four times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Poor

Free text: It could be life, it could be the pandemic, but I'm finding myself spiraling into depression post vaccine. I have even found myself thinking about suicide. Not carrying it out, just something I find on my mind daily, when I did not before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Weight increased — Feeling: Poor

Free text: Weight gain

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-11	priority 2/3
2021-01-12	priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Feeling "woozy" after doing chores like washing dishes and taking the trash out. Almost like standing up too fast and getting light headed but not as severe. Also I feel lethargic and uninterested in doing daily tasks.

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Unknown if side effect or quarantine life, but agitated more so than usual.

2021-01-17

Systemic reaction (other): Just feel "sick" but it could be from having to work overnight when I normally work first shift. Plus well the rest of the house has what appears to be a cold (nasal pcr test pending)

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): My child is sick so while we await our COVID-19 test results, we think it is just a cold

Release 2 — day 14, dose 1

2021-01-25

Symptoms: I have diarrhea today, but I cannot necessarily contribute that to the vaccine. I also am on the tail end of a cold after testing negative for COVID-19. I will say the inject site felt sore today, but if I had to rate it from 0 to 10 I'd say 0.25.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Lack of appetite, last night my TMJ was acting up and prevented me from opening my mouth beyond half way. This is only the second time in my life this has happened. Overall I feel like a bus ran me over three to four times.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: It could be life, it could be the pandemic, but I'm finding myself spiraling into depression post vaccine. I have even found myself thinking about suicide. Not carrying it out, just something I find on my mind daily, when I did not before.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Weight gain

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	Diarrhoea	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Weight increased	✓	·	✓
SRO	Agitation	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Coronavirus test	○	✓	○
SRO	Decreased appetite	✓	✓	✓
SRO	Decreased interest	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Loss of personal independence in daily activities	○	○	○
SRO	Malaise	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	SARS-CoV-2 test	✓	·	✓
SRO	Trismus	✓	✓	✓

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