28U-21614-45818

2 vaccinations 8 coded responses 12 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 243 / VA
Registered: 2021-01-27

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
1602641 (opens in a new window)	high	9 / 11	6	1 of 6 VAERS symptoms	same dose (2)	VA matches	2021-02-16 / 2021-03-01 / 2021-08-21 received 66 days after the last call	case 702230

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

2021-01-18
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Heart racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 14, dose 1
MedDRA: Arthralgia, Dyspnoea, Palpitations — Feeling: Fair

Free text: Heart racing at times, some shortness of breath, shoulder pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 21, dose 1
MedDRA: Pruritus, Rash, Rash papular, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bumpy itchy rash on my L leg shin, itchy palms, rash behind my L ear and in hairline on L side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Dose 2 — Moderna
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Itchy palms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Really itchy palms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Fatigue or tiredness

Free text: Itchy Palms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue, Pain in extremity — Feeling: Poor · 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: Joint pain all over, stabbing pain in left arm occasionally, possible blot clot in right lower leg, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
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)
2021-06-11
Call 1 — Could Not Reach Participant
2021-06-16
Call successful
Completed over the phone
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Office visit, Pain in extremity, Panniculitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lipodermatosclerosis/sclerosing panniculitis and my arm and elbow and knee hurt , i believe arthritis? Not sure · Healthcare visit (other): In person PCP and Dermatologist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-16	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Heart racing

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Heart racing at times, some shortness of breath, shoulder pain.

Release 3 — day 21, dose 1

2021-02-08

Symptoms: Bumpy itchy rash on my L leg shin, itchy palms, rash behind my L ear and in hairline on L side.

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Itchy palms

2021-02-20

Systemic reaction (other): Really itchy palms

2021-02-22

Systemic reaction (other): Itchy Palms

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: Joint pain all over, stabbing pain in left arm occasionally, possible blot clot in right lower leg, fatigue

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Lipodermatosclerosis/sclerosing panniculitis and my arm and elbow and knee hurt , i believe arthritis? Not sure

Healthcare visit (other): In person PCP and Dermatologist

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	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Panniculitis	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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