2BE-28778-96124

5 vaccinations 5 coded responses 66 check-ins 5 free-text entries 1 call case

Sex: Male
Age at first dose: 56-60
ZIP prefix: 730 / OK
Registered: 2021-03-04

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
1981843 (opens in a new window)	high	10 / 11	-3	2 of 7 VAERS symptoms	same dose (3)	OK matches	2021-12-03 / 2021-12-04 / 2021-12-27 received the same day as the last call	case 1225353

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Injection site rash, Rash erythematous — Feeling: Good

Free text: Red rash about 3 or so in diameter on the upper arm about an inch below where the vaccine was administered (aka Covid Arm).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, 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
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-17
Survey response — day 14, dose 3
MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, nasal congestion, and cough.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-21
Call 1 — Left Voicemail
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Call successful
Completed over the phone
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2022-03-04
Survey response — 3 months, dose 3
MedDRA: Pre-existing disease, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus infection/allergies

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Dose 4 — Moderna
2022-05-07
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-18
Survey response — day 42, dose 4
MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, congestion, cough/sneeze, soar throat.

MedDRA releases: 2024-11 · check-in free text available
2022-08-06
Survey response — 3 months, dose 4
MedDRA: COVID-19, Cough, Fatigue, Oropharyngeal pain, Quarantine, SARS-CoV-2 test negative, Upper respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had Covid-19 sore throat, slight cough, some upper respiratory congestion, fatigue so had to quarantine for about 12 days. On day 9 the test line appeared quicker and darker than on previous tests. Finally tested negative on day 12.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Dose 5 — Moderna
2022-10-19
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · None

Adult check-in
2022-10-26
Health check-in — day 7, dose 5
Feeling: Good · Site: Redness · None

Adult check-in
2022-11-02
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-30
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-18
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-19
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-12-03	Moderna	No
4	2022-05-07	Moderna	No
5	2022-10-19	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Red rash about 3 or so in diameter on the upper arm about an inch below where the vaccine was administered (aka Covid Arm).

Release 10 — day 14, dose 3

2021-12-17

Symptoms: Sore throat, nasal congestion, and cough.

Release 11 — 3 months, dose 3

2022-03-04

Symptoms: Sinus infection/allergies

Release 12 — day 42, dose 4

2022-06-18

Symptoms: Fatigue, congestion, cough/sneeze, soar throat.

Release 12 — 3 months, dose 4

2022-08-06

Symptoms: Had Covid-19 sore throat, slight cough, some upper respiratory congestion, fatigue so had to quarantine for about 12 days. On day 9 the test line appeared quicker and darker than on previous tests. Finally tested negative on day 12.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Quarantine	·	·	✓
SD	Rash erythematous	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓

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