27A-28103-37040

5 vaccinations 13 coded responses 60 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 087 / NJ
Registered: 2021-01-13

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2606600 (opens in a new window)	low	10 / 11	10	3 of 11 VAERS symptoms	same dose (5)	NJ matches	2022-09-15 / 2023-02-24 / 2023-03-30 received the same day as the last call	case 350476

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Fever · Chills, Muscle or body aches, Abdominal pain

Free text: Back ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Office visit — Feeling: Fair · Chills, Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Really bad back pain. · Healthcare visit (other): Dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Back pain, Injection site pain, Injection site paraesthesia, Pain, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling, stinging pain same shoulder as shot from shoulder to center back and under arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Musculoskeletal pain, Pain, Paraesthesia — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Free text: Tingling burning pain in shoulder, shoulder blade to mid back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Back pain, Burning sensation, Musculoskeletal pain, Paraesthesia — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Tingling, burning, pain in shoulder, underarm, and shoulder blade to mid back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Musculoskeletal pain, Pain in extremity — Feeling: Good

Free text: Sharp painful tingling in shoulder, shoulder blade and arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort, Musculoskeletal discomfort, Musculoskeletal pain, Paraesthesia — Feeling: Good

Free text: Tingling discomfort in shoulder, shoulder blade and arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Paraesthesia — Feeling: Good

Free text: Still have tingling in shoulder and shoulder blade to center back. But it is starting to lessen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-24
Call 1 — Left Voicemail
2021-03-25
Call successful
Completed over the phone
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Moderna
2021-11-06
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Moderna
2022-04-18
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache · Be unable to work or attend school

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-04-25
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-02
Survey response — day 14, dose 4
MedDRA: Headache, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever, body aches, headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — day 21, dose 4
MedDRA: Cough, Office visit, Pyrexia, Syncope — 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, Emergency room or emergency department visit

Free text: Symptoms: Fevers, fainting, cough · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — day 21, 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 · Emergency room or emergency department visit · 1 call case(s)
2022-05-10
Call 1 — Requested Callback
2022-05-10
Call 1 — Requested Callback
2022-05-16
Survey response — day 28, dose 4
MedDRA: Cough, Hyperhidrosis, Office visit, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe cough, fever, severe sweating, bloodwork, Ct scans Been referred to an Infectious Disease specialist. · Healthcare visit (other): Drs office visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-16
Call 2 — Requested Callback
2022-05-16
Call 2 — Requested Callback
2022-05-17
Call 3 — Left Voicemail
2022-05-17
Call 3 — Left Voicemail
2022-05-23
Survey response — day 35, dose 4
MedDRA: Office visit, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continuing fevers of unknown origin. Currently under the care of an infectious disease specialist. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-23
Callback requested for
morning
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-05-24
Call 1 — Left Voicemail
2022-05-30
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-15
Dose 5 — Moderna
2022-09-26
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-01
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-16
Survey response — 6 months, dose 5
MedDRA: COVID-19 — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-16
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-17
Call 1 — Requested Callback
2023-03-22
Call 2 — Requested Callback
2023-03-30
Callback requested for
11:00AM ET
2023-03-30
Call successful
Completed over the phone
2023-03-30
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2021-11-06	Moderna	No
4	2022-04-18	Moderna	No
5	2022-09-15	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Back ache

2021-01-19

Systemic reaction (other): Really bad back pain.

Healthcare visit (other): Dr office

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Tingling, stinging pain same shoulder as shot from shoulder to center back and under arm.

2021-02-12

Systemic reaction (other): Tingling burning pain in shoulder, shoulder blade to mid back

2021-02-13

Systemic reaction (other): Tingling, burning, pain in shoulder, underarm, and shoulder blade to mid back.

2021-02-15

Systemic reaction (other): Sharp painful tingling in shoulder, shoulder blade and arm

2021-02-16

Systemic reaction (other): Tingling discomfort in shoulder, shoulder blade and arm.

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Still have tingling in shoulder and shoulder blade to center back. But it is starting to lessen.

Release 11 — day 14, dose 4

2022-05-02

Symptoms: Fever, body aches, headache

Release 11 — day 21, dose 4

2022-05-09

Symptoms: Fevers, fainting, cough

Healthcare visit (other): Dr office

Release 11 — day 28, dose 4

2022-05-16

Symptoms: Severe cough, fever, severe sweating, bloodwork, Ct scans Been referred to an Infectious Disease specialist.

Healthcare visit (other): Drs office visit

Release 11 — day 35, dose 4

2022-05-23

Symptoms: Continuing fevers of unknown origin. Currently under the care of an infectious disease specialist.

Healthcare visit (other): Office visit

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Syncope	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site paraesthesia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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