ZYT-21131-67617

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 952 / CA
Registered: 2021-02-09

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Soreness of the muscle at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Tenderness — Feeling: Good

Free text: Arm is still tender; mild symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm is getting better. I can bump up against it and not jump.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Arm is just about normal. Bumping the arm produces no reaction.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — day 7, dose 1
MedDRA: Somnolence — Feeling: Good · Fatigue or tiredness

Free text: Just want to go to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-09
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Arm is tender and sore at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased, Pain, Self-medication — Feeling: Fair · Site: Pain

Free text: Cannot lift my arm above my head. Took 200 mg of Tylenol to ease the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Injection site is still tender, but I can raise my arm above my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Arm does not feel tender and I can raise it up fully extended. But if I press up against the injection site, it is still tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus — Feeling: Good · Site: Itching

Free text: Just felt that I couldnt stop scratching the area of the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: Injection site is no longer itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Arthritis, Pre-existing disease — 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: Painful arthritis in left shoulder and elbow. On May 17 my doctor prescribed Tylenol Arthritis and physical therapy. Physical therapist has not called to schedule an appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
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)
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Call 1 — Left Voicemail
2021-11-22
Call successful
Participant prefers to complete VAERS report online
2022-03-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): Soreness of the muscle at the injection site.

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Arm is still tender; mild symptoms.

2021-02-12

Systemic reaction (other): Arm is getting better. I can bump up against it and not jump.

2021-02-13

Systemic reaction (other): Arm is just about normal. Bumping the arm produces no reaction.

Release 4 — day 7, dose 1

2021-02-16

Systemic reaction (other): Just want to go to sleep.

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): Arm is tender and sore at the injection site.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Cannot lift my arm above my head. Took 200 mg of Tylenol to ease the pain.

2021-03-11

Systemic reaction (other): Injection site is still tender, but I can raise my arm above my head.

2021-03-12

Systemic reaction (other): Arm does not feel tender and I can raise it up fully extended. But if I press up against the injection site, it is still tender.

2021-03-13

Systemic reaction (other): Just felt that I couldnt stop scratching the area of the injection site.

2021-03-15

Systemic reaction (other): Injection site is no longer itching.

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Painful arthritis in left shoulder and elbow. On May 17 my doctor prescribed Tylenol Arthritis and physical therapy. Physical therapist has not called to schedule an appointment.

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	Arthritis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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