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ZGG-21275-66822

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 2 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
600 / IL
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Registered in v-safe
  2. 2021-04-08
    Dose 1 — Moderna
  3. 2021-04-08
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Musculoskeletal stiffness — Feeling: Good · Muscle or body aches
    Free text: Stiff neck about 20 min after injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-04-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-29
    Survey response — day 21, dose 1
    MedDRA: Headache — Feeling: Good · Be unable to work
    Free text: Had an unusual headache that would not go away Tuesday most of the day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-06
    Dose 2 — Moderna
  11. 2021-05-06
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  12. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  13. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  14. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-20
    Survey response — day 14, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: I can feel Bill Gates's mind control nanobots moving through my body taking over my mind spreading to anyone who stands next to me..... Just kidding ;) No problems.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-07
    Survey response — 6 months, dose 2
    MedDRA: Thyroid mass, Vitamin B12 deficiency — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Thyroid Nodules & vitamin B12 deficiency. But I doubt it is related to the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-07
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2021-11-10
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  27. 2022-05-06
    Survey response — 12 months, dose 2
    MedDRA: Chest discomfort, Muscle spasms, Musculoskeletal discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Non specific left upper chest & back discomfort / spasms. Can't see how it is related to the vaccine booster so long ago (4 months ago). May just be a muscle an overuse issue. Just specifying in case it is any use to you.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-06
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-05-09
  30. 2022-05-09
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-06Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-11-07 Successful
2021-11-10
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-06 Successful
2022-05-09
Not applicable - Accidental Reporting

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): Stiff neck about 20 min after injection.

Release 8 — day 21, dose 1

2021-04-29

Symptoms: Had an unusual headache that would not go away Tuesday most of the day.

Release 8 — day 14, dose 2

2021-05-20

Symptoms: I can feel Bill Gates's mind control nanobots moving through my body taking over my mind spreading to anyone who stands next to me..... Just kidding ;) No problems.

Release 10 — 6 months, dose 2

2021-11-07

Symptoms: Thyroid Nodules & vitamin B12 deficiency. But I doubt it is related to the vaccine.

Release 11 — 12 months, dose 2

2022-05-06

Symptoms: Non specific left upper chest & back discomfort / spasms. Can't see how it is related to the vaccine booster so long ago (4 months ago). May just be a muscle an overuse issue. Just specifying in case it is any use to you.

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

FieldPreferred term2021-092023-042024-11
SDChest discomfort · · ✓
SDHeadache ✓ ✓ ✓
SDMuscle spasms · · ✓
SDMusculoskeletal discomfort · · ✓
SDNo adverse event ✓ ✓ ✓
SDThyroid mass · · ✓
SDVitamin B12 deficiency · · ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓

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