2GE-27472-13533

5 vaccinations 5 coded responses 40 check-ins 4 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-03-03

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
1869517 (opens in a new window)	high	10 / 11	1	2 of 5 VAERS symptoms	same dose (2)	GA matches	2021-03-31 / 2021-04-21 / 2021-11-15 received the same day as the last call	case 643094

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

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

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

Adult check-in
2021-03-07
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
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

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

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

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Urinary tract infection. · Healthcare visit (other): Primary care doctor visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Office visit, Red blood cell count decreased, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Urinary tract infection and low red blood cell count. · Healthcare visit (other): Primary care doctor. Antibiotics and referral to hematologist.

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-11
Call 1 — Left Voicemail
2021-11-15
Dose 3 — Moderna
2021-11-15
Call successful
Completed over the phone
2021-11-15
Call successful
Completed over the phone
2022-04-02
Dose 4 — Moderna
2022-04-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-02
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

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

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-23
Dose 5 — Moderna
2022-10-01
Survey response — 6 months, dose 4
MedDRA: Alanine aminotransferase increased — Feeling: Good

Free text: Blood tests showed high ALT liver enzymes. May or may not be related to Covid booster in spring. Just got Omicron updated booster on 9/23. Doctor will recheck liver enzymes in 6 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-23
Survey response — 3 months, dose 5
MedDRA: Colonoscopy abnormal, Intestinal mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Colonoscopy revealed a mass in my colon. · Healthcare visit (other): Consultation with surgeon for upcoming surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-27
Call X — Left Voicemail
2023-03-24
Survey response — 6 months, dose 5
MedDRA: Colectomy, Colonoscopy abnormal, Polyp — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-03-24
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

Hospitalization · 1 call case(s)
2023-03-29
Call 1 — Left Voicemail
2023-03-29
Call 1 — Left Voicemail
2023-05-12
Call 2 — Left Voicemail
2023-05-12
Call 2 — Left Voicemail
2023-05-19
Call 3 — Requested Callback
2023-05-19
Call 3 — Requested Callback
2023-05-24
Callback requested for
02:00PM ET
2023-05-24
Call X — Left Voicemail
2023-05-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-11-15	Moderna	No
4	2022-04-02	Moderna	No
5	2022-09-23	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Urinary tract infection.

Healthcare visit (other): Primary care doctor visit.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Urinary tract infection and low red blood cell count.

Healthcare visit (other): Primary care doctor. Antibiotics and referral to hematologist.

Release 12 — 6 months, dose 4

2022-10-01

Symptoms: Blood tests showed high ALT liver enzymes. May or may not be related to Covid booster in spring. Just got Omicron updated booster on 9/23. Doctor will recheck liver enzymes in 6 weeks.

Release 12 — 3 months, dose 5

2022-12-23

Symptoms: Colonoscopy revealed a mass in my colon.

Healthcare visit (other): Consultation with surgeon for upcoming surgery.

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	Alanine aminotransferase increased	·	·	✓
SD	Colectomy	·	·	✓
SD	Colonoscopy abnormal	·	·	✓
SD	Intestinal mass	·	·	✓
SD	Polyp	·	·	✓
SD	Red blood cell count decreased	·	·	✓
SD	Urinary tract infection	✓	✓	✓

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