ZPY-32972-26358

5 vaccinations 7 coded responses 32 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 916 / CA
Registered: 2021-01-27

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Sciatica — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: It was my sciatic in my right leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Pain — Feeling: Fair

Free text: My Back is outOverall body ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Headache — Feeling: Poor

Free text: Headache and irritated left ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 35, dose 2
MedDRA: Back disorder, Musculoskeletal discomfort — Feeling: Poor · 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: Im having extreme back and hip problems thats so far are unexplained. Cant make an appointment at Kaiser because they only want to do video

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Back disorder, Sciatica — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Just been having some serious back and sciatic issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Oedema, Office visit, Peripheral swelling, Skin haemorrhage — Feeling: Good · Be unable to do your normal daily activities

Free text: Had to go to the urgent care because my calfs were swelling severe Adema with bleeding through the skin

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-23
Dose 3 — Moderna
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-03-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-08
Dose 4 — Moderna
2022-10-04
Dose 5 — Moderna
2022-10-25
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-02
Survey response — day 28, dose 5
MedDRA: Hot flush, Hyperhidrosis, Palpitations — Feeling: Poor

Free text: I'm having that can only be described as hot flashes. I have no temperature and have exerted no effort, but my heart begins to race, and I begin sweating profusely. If I lay down, it gets better in about 20 minutes

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-15
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-03
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-04
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-11-23	Moderna	No
4	2022-06-08	Moderna	No
5	2022-10-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-26	Successful 2022-03-25	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): It was my sciatic in my right leg

Release 5 — day 21, dose 2

2021-03-17

Symptoms: My Back is outOverall body ache

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Headache and irritated left ear

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Im having extreme back and hip problems thats so far are unexplained. Cant make an appointment at Kaiser because they only want to do video

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Just been having some serious back and sciatic issues

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Had to go to the urgent care because my calfs were swelling severe Adema with bleeding through the skin

Release 12 — day 28, dose 5

2022-11-02

Symptoms: I'm having that can only be described as hot flashes. I have no temperature and have exerted no effort, but my heart begins to race, and I begin sweating profusely. If I lay down, it gets better in about 20 minutes

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	Back disorder	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Oedema	✓	·	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Sciatica	✓	✓	✓
SD	Skin haemorrhage	✓	·	✓
SRO	Sciatica	✓	✓	✓

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