ZRL-60222-37735

3 vaccinations 13 coded responses 33 check-ins 13 free-text entries 3 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 949 / CA
Registered: 2021-05-04

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

2021-05-04
Registered in v-safe
2021-05-04
Dose 1 — Moderna
2021-05-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My lower back has been spasming almost constantly since yesterday.

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

Free text: Lower back spasms all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back spasms, about 50% freq compared to 5/7

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · 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
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling, Itching · 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
2021-05-11
Survey response — day 7, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The constant lower back spasms have almost gone away. It appears they are part of the whole-body reaction to the vaccine I am experiencing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-25
Survey response — day 21, dose 1
MedDRA: Arthralgia, Arthritis, Joint swelling, Peripheral swelling, Pre-existing disease, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Painful visible swelling in what appears to be every joint. I had been diagnosed with minor arthritis in my right ankle and knee. This appears to be affecting every other joint in my body. Neck, back and hands are most swollen and painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Dose 2 — Moderna
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Arthritis, Insomnia, Joint swelling, Pre-existing disease, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I have very mild arthritis. The 1st vaccine sent it into overdrive. Every joint is swollen and painful, particularly the hips. Ive never had hip pain, now i cannot sleep they hurt so bad. · Healthcare visit (other): I have not gone to the doctor yet, but will go as soon as i am able.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Joint swelling, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The "shifting focus" arthritis persists. Each morning is a lottery, if im unlucky, my hips or hands are todays fun target. And all day long that chosen joint is inflamed, hyper-arthritic, swollen, useless.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · 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
2021-06-15
Survey response — day 14, dose 2
MedDRA: Inflammation, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I realized that I've been running a fever for several days - I was slow to notice with all the other weird symptoms. It's lower now (100.4F), but I think I slept through the high point today. The moving inflammation has settled in my wrists and knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-06-29
Survey response — day 28, dose 2
MedDRA: Arthritis, Hyperhidrosis, Pre-existing disease, Sensitivity to weather change, Temperature intolerance — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The traveling focus arthritis picks a new joint every day. I appear to be extremely sensitive to hot weather. This is new. Any effort, or even walking around and I am covered in perspiration. I am comfortable in 60F temps now, checked temp 99.4F.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-07-14
Survey response — day 42, dose 2
MedDRA: Fatigue, Heart rate increased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: The tiredness/exhaustion I noted previously is worse. The fast heartbeat is constant now - I wake with a 85 to 90bpm. · Healthcare visit (other): Will go in as soon as I feel up to it. On top of the exhaustion, I no longer like crowds at all, or anyone to touch me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — day 42, 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

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-08-31
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-11-30
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Muscular weakness, Pain in extremity, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Injection arm is very swolen, painful, and is useless today.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Joint swelling, Vaccine positive rechallenge — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: As previously reported with the first 2 vaccinations, the booster has brought a huge spike in joint swelling and tenderness/pain in every joint.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Survey response — day 28, dose 3
MedDRA: Arthralgia, Blood pressure increased, Heart rate increased, Hypertension, Reaction to previous exposure to any vaccine — 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: Symptoms: The hightened blood pressure and heart rate that happened with the original vaccinations are back and the arthritic pain was renewed/increased with the booster. Is this something i will have always, and does anything work for the super high BP & BPM? · Healthcare visit (other): Going in for high BP and heart rate.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — day 28, dose 3
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)
2022-01-04
Call 1 — Left Voicemail
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-04
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-04	Moderna
2	2021-06-01	Moderna
3	2021-12-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-02	Successful	Participant prefers to complete VAERS report online
2021-07-14	Successful	Participant prefers to complete VAERS report online
2021-12-31	Successful 2022-01-04	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-05

Systemic reaction (other): My lower back has been spasming almost constantly since yesterday.

2021-05-07

Systemic reaction (other): Lower back spasms all day.

2021-05-08

Systemic reaction (other): Lower back spasms, about 50% freq compared to 5/7

Release 8 — day 7, dose 1

2021-05-11

Systemic reaction (other): The constant lower back spasms have almost gone away. It appears they are part of the whole-body reaction to the vaccine I am experiencing.

Release 8 — day 21, dose 1

2021-05-25

Symptoms: Painful visible swelling in what appears to be every joint. I had been diagnosed with minor arthritis in my right ankle and knee. This appears to be affecting every other joint in my body. Neck, back and hands are most swollen and painful.

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): I have very mild arthritis. The 1st vaccine sent it into overdrive. Every joint is swollen and painful, particularly the hips. Ive never had hip pain, now i cannot sleep they hurt so bad.

Healthcare visit (other): I have not gone to the doctor yet, but will go as soon as i am able.

2021-06-07

Systemic reaction (other): The "shifting focus" arthritis persists. Each morning is a lottery, if im unlucky, my hips or hands are todays fun target. And all day long that chosen joint is inflamed, hyper-arthritic, swollen, useless.

Release 9 — day 14, dose 2

2021-06-15

Symptoms: I realized that I've been running a fever for several days - I was slow to notice with all the other weird symptoms. It's lower now (100.4F), but I think I slept through the high point today. The moving inflammation has settled in my wrists and knees cut off by CDC

Release 9 — day 28, dose 2

2021-06-29

Symptoms: The traveling focus arthritis picks a new joint every day. I appear to be extremely sensitive to hot weather. This is new. Any effort, or even walking around and I am covered in perspiration. I am comfortable in 60F temps now, checked temp 99.4F.

Release 9 — day 42, dose 2

2021-07-14

Symptoms: The tiredness/exhaustion I noted previously is worse. The fast heartbeat is constant now - I wake with a 85 to 90bpm.

Healthcare visit (other): Will go in as soon as I feel up to it. On top of the exhaustion, I no longer like crowds at all, or anyone to touch me.

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Injection arm is very swolen, painful, and is useless today.

2021-12-06

Systemic reaction (other): As previously reported with the first 2 vaccinations, the booster has brought a huge spike in joint swelling and tenderness/pain in every joint.

Release 10 — day 28, dose 3

2021-12-31

Symptoms: The hightened blood pressure and heart rate that happened with the original vaccinations are back and the arthritic pain was renewed/increased with the booster. Is this something i will have always, and does anything work for the super high BP & BPM? cut off by CDC

Healthcare visit (other): Going in for high BP and heart rate.

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	Fatigue	✓	✓	✓
HCVO	Heart rate increased	·	·	✓
HCVO	Hypertension	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Blood pressure increased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Sensitivity to weather change	·	·	✓
SD	Swelling	✓	✓	✓
SD	Temperature intolerance	✓	✓	○
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscular weakness	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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