ZK9-20668-48159

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 481 / MI
Registered: 2021-04-21

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

2021-04-21
Registered in v-safe
2021-04-21
Dose 1 — Moderna
2021-04-21
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Chills

Free text: Numbness in the arm had the injection in & in thats side of my face for about 1 hour and went away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: My neck sore on the side of the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-15
Dose 2 — Moderna
2021-05-15
Health check-in — day 0, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-05-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-06
Survey response — day 21, dose 2
MedDRA: Physiotherapy, Pre-existing disease — Feeling: Good

Free text: Since i had covid in March to now I still have problems with my stomach gastric problem and i get tired so fast and my muscles are weak i bean doing Physical therapy 3 times a week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-27
Survey response — day 42, dose 2
MedDRA: Gastroenteritis viral — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My stomach since Covid-19 been really sick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Could Not Reach Participant
2021-08-14
Survey response — 3 months, dose 2
MedDRA: Gastric disorder, Musculoskeletal discomfort — 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: My stomach & my back since i get covid i been having so much problems

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call 1 — Left Voicemail
2022-05-17
Survey response — 12 months, dose 2
MedDRA: Migraine, Muscle spasms, Muscular weakness — 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 · Outpatient clinic or urgent care clinic visit

Free text: I been having bad migraine headache and bad muscle spasm and weakness with my muscles since I took the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-27	Unsuccessful
2021-08-14	Unsuccessful
2022-05-17	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-21

Systemic reaction (other): Numbness in the arm had the injection in & in thats side of my face for about 1 hour and went away

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): My neck sore on the side of the injection

Release 8 — day 21, dose 2

2021-06-06

Symptoms: Since i had covid in March to now I still have problems with my stomach gastric problem and i get tired so fast and my muscles are weak i bean doing Physical therapy 3 times a week

Release 9 — day 42, dose 2

2021-06-27

Symptoms: My stomach since Covid-19 been really sick

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: My stomach & my back since i get covid i been having so much problems

Release 11 — 12 months, dose 2

2022-05-17

Symptoms: I been having bad migraine headache and bad muscle spasm and weakness with my muscles since I took the vaccine.

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	Gastric disorder	✓	·	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Migraine	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal discomfort	✓	·	✓
SD	Physiotherapy	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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