ZN2-17089-45292

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 109 / NY
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Difficulty sleeping last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Trouble sleeping.

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Headache, Muscle tightness — Feeling: Fair

Free text: Headaches, tightness in neck and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Survey response — day 0, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-11
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
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Lethargy, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches, joint pain, tiredness, headaches, lethargy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Insomnia, Pain, Pain in extremity, Pre-existing disease, Sleep disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My headaches are getting worse and never go away. The pain in my arms is getting worse and doesn't go away. I frequently wake up in the middle of the night and can't get back to sleep. I'm tired all day and frequently have to take naps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Nerve compression, Office visit — Feeling: Good · 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: Symptoms: Pinched nerve in back. · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
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)
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Headache, Myalgia, Tendon pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches, muscle pain in both arms, tendon pain in foot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Call 3 — Left Voicemail
2022-05-06
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Back pain, Infection parasitic, Neck pain, Skin tightness, Spinal pain — Feeling: Fair · 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: Parasitic infection, joint pain, back pain, neck pain, spinal pain and tightness.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-10
Call 1 — Could Not Reach Participant
2022-05-10
Call 1 — Could Not Reach Participant
2022-05-13
Call 2 — Could Not Reach Participant
2022-05-13
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna

Call center

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

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Difficulty sleeping last night

2021-04-10

Systemic reaction (other): Trouble sleeping.

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Headaches, tightness in neck and back.

Release 8 — day 0, dose 2

2021-05-06

Systemic reaction (other): Congestion

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Insomnia

Release 8 — day 21, dose 2

2021-05-27

Symptoms: Muscle aches, joint pain, tiredness, headaches, lethargy.

Release 9 — day 42, dose 2

2021-06-17

Symptoms: My headaches are getting worse and never go away. The pain in my arms is getting worse and doesn't go away. I frequently wake up in the middle of the night and can't get back to sleep. I'm tired all day and frequently have to take naps.

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Pinched nerve in back.

Healthcare visit (other): Chiropractor

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Headaches, muscle pain in both arms, tendon pain in foot.

Release 11 — 12 months, dose 2

2022-05-06

Symptoms: Parasitic infection, joint pain, back pain, neck pain, spinal pain and tightness.

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	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Infection parasitic	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Nerve compression	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Skin tightness	·	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Spinal pain	·	·	✓
SD	Tendon pain	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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