ZKK-20398-13466

5 vaccinations 7 coded responses 55 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 982 / WA
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Survey response — day 0, dose 1
MedDRA: Body temperature increased — Feeling: Good

Free text: Within the first few minutes...my whole body temp seemed to elevated..slightly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Survey response — day 0, dose 2
MedDRA: Abdominal discomfort — Feeling: Good · Abdominal pain

Free text: Upper abdominal uncomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Metallic taste in mouth...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains

Free text: Since shot...all cuticles are red an hurt very minor..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-12
Dose 3 — Pfizer-BioNTech
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2022-01-19
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-01-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-02
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint painsthat have never gone away

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Survey response — day 28, dose 3
MedDRA: Arthralgia, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint/muscle pain · Healthcare visit (other): My Dr was able to squeeze me in

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-02-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-04
Dose 4 — Moderna
2022-06-12
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-06-18
Survey response — day 14, dose 4
MedDRA: Arthralgia, Myalgia, Unevaluable event — 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: Symptoms: Still have aching joints/muscles in my elbows, wrists and fingers? · Healthcare visit (other): Have re-advised my medical provider that my symptoms are still present from February-after my first booster shot.

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-21
Call 2 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail
2022-06-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-11
Dose 5 — Moderna
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-18
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna
3	2022-01-12	Pfizer-BioNTech	No
4	2022-06-04	Moderna	No
5	2022-10-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-09	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2022-06-18	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Within the first few minutes...my whole body temp seemed to elevated..slightly

Release 7 — day 0, dose 2

2021-04-17

Systemic reaction (other): Upper abdominal uncomfort

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Metallic taste in mouth...

2021-04-22

Systemic reaction (other): Since shot...all cuticles are red an hurt very minor..

Release 11 — day 21, dose 3

2022-02-02

Symptoms: Joint painsthat have never gone away

Release 11 — day 28, dose 3

2022-02-09

Symptoms: Joint/muscle pain

Healthcare visit (other): My Dr was able to squeeze me in

Release 12 — day 14, dose 4

2022-06-18

Symptoms: Still have aching joints/muscles in my elbows, wrists and fingers?

Healthcare visit (other): Have re-advised my medical provider that my symptoms are still present from February-after my first booster shot.

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Myalgia	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓

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