ZHE-27362-92776

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 799 / TX
Registered: 2021-03-10

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

2021-03-09
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: But "joint pain" and "muscle aches" are also part of other conditions I have, so the vaccine isn't necessarily the "cause".

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Pain — Feeling: Good · Muscle or body aches

Free text: These are normal fibromyalgia aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair

Free text: Occasional shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 1
MedDRA: Chest pain — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 28, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: Nasal drip. (b)(6), Texas is dusty this week, is all. My second dose is scheduled for Thursday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Moderna
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Periarthritis — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Adhesive capsulitis in the *other* shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-04-15
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort — Feeling: Poor

Free text: Bad stomach reaction to newly prescribed OTC medicine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Flank pain — Feeling: Fair

Free text: Pain in right side of torso.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Call 1 — Left Voicemail
2021-07-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-08	Successful 2021-07-13	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): But "joint pain" and "muscle aches" are also part of other conditions I have, so the vaccine isn't necessarily the "cause".

2021-03-13

Systemic reaction (other): These are normal fibromyalgia aches.

2021-03-15

Systemic reaction (other): Occasional shortness of breath

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Chest pains

Release 7 — day 28, dose 1

2021-04-06

Symptoms: Nasal drip. (b)(6), Texas is dusty this week, is all. My second dose is scheduled for Thursday.

redacted (b)(6)

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Adhesive capsulitis in the *other* shoulder.

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Bad stomach reaction to newly prescribed OTC medicine.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Pain in right side of torso.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Sinus infection

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	Flank pain	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Periarthritis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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