ZER-38883-90397

4 vaccinations 25 coded responses 50 check-ins 25 free-text entries 7 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 208 / MD
Registered: 2021-04-20

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Moderna
2021-04-20
Survey response — day 0, dose 1
MedDRA: Medical counselling, Tremor, Unevaluable event — Feeling: Good · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Wrist tremor (shaking) · Healthcare visit (other): Went back to the vaccination site and they had me sit there an additional 15 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Cough, Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain

Free text: mild chest pain, moderate-severe cough, moderate-severe sneezing, moderate-severe running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None · Be unable to work

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Rash — Feeling: Good

Free text: A little bit itching, but not severe enough that i would call it a "rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Myalgia, Oropharyngeal pain — Feeling: Fair

Free text: Had moderate abdominal pain couple days ago but this went away by itself.Also have intermittently had sore throat, muscle aches (but other tjan the abdominal pain, this is no worse than how i normally feel)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 28, dose 1
MedDRA: Abdominal pain — Feeling: Good

Free text: Last week had some abdominal pain. Maybe something i ate? Probably not vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Dose 2 — Moderna
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Pruritus — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Itchy or tingling scalp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Electric shock sensation, Malaise — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Thursday afternoon (about 24h after the 2nd shot), I had electric shocking sensations (paresthesias)! Felt terrible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 21, dose 2
MedDRA: Pain, Sleep disorder — Feeling: Fair

Free text: Some aches, interfere with sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 28, dose 2
MedDRA: Arthralgia, Cough, Insomnia, Pruritus, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Some itching, but not significantly worse than usual. Some coughing, sneezing and runny nose.Wrist aches, noticeable only at night when it intetferes with sleep. Bad nighttime sleep aused me to sleep during the day but not much worse than normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — day 35, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Sneezing, severe running nose, seems like allergy but weather.com says pollen count is low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 3 months, dose 2
MedDRA: Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Itching

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-11-17
Survey response — 6 months, dose 2
MedDRA: Hypersensitivity, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · 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: Worsened allergies, but i think we finally found the cause (i filed a separate report with FDA-related to a recalled device not a vaccine) NOTE: The positive Covid test was presumptive positive NOT a true positive. It was invalid or inconclusive

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — 6 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)
2021-11-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-09
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Electric shock sensation, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Paresthesias ("brain zaps")

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · None

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-12-23
Survey response — day 14, dose 3
MedDRA: Rhinorrhoea, Self-medication, Sneezing — Feeling: Good

Free text: Severe running nose sneezing Treated with OTC antihistamine

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — day 21, dose 3
MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Cough, sneezing, running nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — day 28, dose 3
MedDRA: Headache, Pain in extremity — Feeling: Good

Free text: My leg and arm ache right now Also i got a headache a few hours after scraping snow off my car earlier this week. Got tested yesterday, awaiting results

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Survey response — 3 months, dose 3
MedDRA: Abdominal pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Abdominal pain · Healthcare visit (other): CT scan (awaiting results)

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail
2022-09-14
Dose 4 — Other-Unknown
2022-09-14
Health check-in — day 0, dose 4
Feeling: Fair · Headache, Nausea

Adult check-in
2022-09-16
Survey response — days 1–6 daily, dose 4
MedDRA: Headache — Feeling: Fair · Headache

Free text: The headache was yesterday but i didnt get a check-in notification. I feel fine today

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-09-21
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-28
Survey response — day 14, dose 4
MedDRA: Headache, Oropharyngeal pain — Feeling: Good

Free text: Sore throat Also the headache came back but only on one day and it was milder

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — day 21, dose 4
MedDRA: Abdominal pain — Feeling: Good

Free text: Intermittent sharp abdominal pains

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 28, dose 4
MedDRA: Abdominal pain upper, Arthralgia, Chest pain, Cough, Pain — Feeling: Fair

Free text: Worsening cough (recurrent at night Joint/body aches (1 day only) Intermittent sharp upper right abdomen/lower right chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — day 35, dose 4
MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Got cold-like symptoms day before yesterday. Intermittent hacking cough. Awaiting covid test results. · Healthcare visit (other): Drive-thru Covid test

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-21
Call 2 — Requested Callback
2022-10-21
Call 1 — Requested Callback
2022-10-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-14
Survey response — 3 months, dose 4
MedDRA: Electric shock sensation, Nasopharyngitis, Paraesthesia — 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: On 11/02/2022 i experienced paresthesias (brain zaps) at the onset of a brief cold-like illness. I don't know if i have reported it here yet. I have already filled out a VAERS form but haven't submitted it yet.

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Report sent to call center — 3 months, dose 4
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)
2022-12-15
Call 1 — Left Voicemail
2023-03-15
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-19	Moderna
3	2021-12-09	Pfizer-BioNTech	No
4	2022-09-14	Other-Unknown	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Successful 2021-11-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-22	Successful 2021-11-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-08-18	Successful 2021-11-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-17	Successful 2021-11-18	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-10	Successful 2022-10-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20	Successful 2022-10-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-14	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-20

Systemic reaction (other): Wrist tremor (shaking)

Healthcare visit (other): Went back to the vaccination site and they had me sit there an additional 15 minutes

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): mild chest pain, moderate-severe cough, moderate-severe sneezing, moderate-severe running nose

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): A little bit itching, but not severe enough that i would call it a "rash

Release 8 — day 21, dose 1

2021-05-11

Symptoms: Had moderate abdominal pain couple days ago but this went away by itself.Also have intermittently had sore throat, muscle aches (but other tjan the abdominal pain, this is no worse than how i normally feel)

Release 8 — day 28, dose 1

2021-05-18

Symptoms: Last week had some abdominal pain. Maybe something i ate? Probably not vaccine related

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Itchy or tingling scalp.

2021-05-22

Systemic reaction (other): Thursday afternoon (about 24h after the 2nd shot), I had electric shocking sensations (paresthesias)! Felt terrible.

2021-05-25

Systemic reaction (other): Itchy scalp

Release 8 — day 7, dose 2

2021-05-26

Systemic reaction (other): Itchy scalp

Release 9 — day 21, dose 2

2021-06-09

Symptoms: Some aches, interfere with sleep

Release 9 — day 28, dose 2

2021-06-18

Symptoms: Some itching, but not significantly worse than usual. Some coughing, sneezing and runny nose.Wrist aches, noticeable only at night when it intetferes with sleep. Bad nighttime sleep aused me to sleep during the day but not much worse than normal. cut off by CDC

Release 9 — day 35, dose 2

2021-06-23

Symptoms: Sneezing, severe running nose, seems like allergy but weather.com says pollen count is low

Release 9 — 3 months, dose 2

2021-08-18

Symptoms: Itching

Release 10 — 6 months, dose 2

2021-11-17

Symptoms: Worsened allergies, but i think we finally found the cause (i filed a separate report with FDA-related to a recalled device not a vaccine) NOTE: The positive Covid test was presumptive positive NOT a true positive. It was invalid or inconclusive

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Paresthesias ("brain zaps")

Release 10 — day 14, dose 3

2021-12-23

Symptoms: Severe running nose sneezing Treated with OTC antihistamine

Release 10 — day 21, dose 3

2021-12-30

Symptoms: Cough, sneezing, running nose

Release 10 — day 28, dose 3

2022-01-06

Symptoms: My leg and arm ache right now Also i got a headache a few hours after scraping snow off my car earlier this week. Got tested yesterday, awaiting results

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Abdominal pain

Healthcare visit (other): CT scan (awaiting results)

Release 12 — days 1–6 daily, dose 4

2022-09-16

Systemic reaction (other): The headache was yesterday but i didnt get a check-in notification. I feel fine today

Release 12 — day 14, dose 4

2022-09-28

Symptoms: Sore throat Also the headache came back but only on one day and it was milder

Release 12 — day 21, dose 4

2022-10-05

Symptoms: Intermittent sharp abdominal pains

Release 12 — day 28, dose 4

2022-10-12

Symptoms: Worsening cough (recurrent at night Joint/body aches (1 day only) Intermittent sharp upper right abdomen/lower right chest pain

Release 12 — day 35, dose 4

2022-10-20

Symptoms: Got cold-like symptoms day before yesterday. Intermittent hacking cough. Awaiting covid test results.

Healthcare visit (other): Drive-thru Covid test

Release 12 — 3 months, dose 4

2022-12-14

Symptoms: On 11/02/2022 i experienced paresthesias (brain zaps) at the onset of a brief cold-like illness. I don't know if i have reported it here yet. I have already filled out a VAERS form but haven't submitted it yet.

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	Medical counselling	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Electric shock sensation	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tremor	✓	✓	✓

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