2QF-24472-66180

4 vaccinations 18 coded responses 48 check-ins 17 free-text entries 12 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 070 / NJ
Registered: 2021-01-26

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
1396711 (opens in a new window)	high	9 / 11	—	1 of 7 VAERS symptoms	same dose (1)	NJ matches	2021-01-26 / 2021-02-01 / 2021-06-14 received the same day as the last call	case 181551

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chronic obstructive pulmonary disease, Dyspnoea, Sleep apnoea syndrome — Feeling: Good · Site: Swelling, Itching

Free text: COPD and Sleep Apnea, a bit harder to breathe deeply today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Difficulty breathing deeply

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Difficulty breathing deeply

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 14, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: More difficulty breathing than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Survey response — day 28, dose 1
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Trouble breathing, out of breath, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Dyspnoea, Limb discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath, pressure on chest and in legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Office visit, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Shortness of breath, leg swelling. · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Pyrexia — Feeling: Fair

Free text: Difficulty breathing, fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Chronic obstructive pulmonary disease, Dyspnoea, Lymphoedema, Office visit, 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: Symptoms: Lymphedema in both legs, worsening of COPD symptoms especially shortness of breath. · Healthcare visit (other): Doctors appointment in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
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)
2021-06-14
Call successful
Completed over the phone
2021-06-14
Call successful
Completed over the phone
2021-06-14
Call successful
Completed over the phone
2021-06-14
Call successful
Completed over the phone
2021-06-14
Call successful
Completed over the phone
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Greater difficulty breathing · Healthcare visit (other): In office visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-18
Dose 3 — Moderna
2021-10-18
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Fatigue or tiredness

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Diarrhea

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Survey response — day 21, dose 3
MedDRA: Arthralgia, Dyspnoea — Feeling: Fair

Free text: Joint pain, and increased difficulty breathing.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Survey response — day 42, dose 3
MedDRA: Dyspnoea, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Breathing is more difficult. But, I have COPD and the cold air is probably the cause. · Healthcare visit (other): In-office visit with pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-08
Call successful
Does not wish to fill out VAERS report
2022-01-17
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Pneumonia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: COPD exacerbation, public acquired pneumonia. I do not think this is vaccine related.

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-18
Call successful
Participant prefers to complete VAERS report online
2022-04-11
Dose 4 — Moderna
2022-04-19
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling, Itching · None

Adult check-in
2022-04-19
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Office visit, Pneumonia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Community acquired pneumonia in December. Shortness of breath is increasing. · Healthcare visit (other): Doctors office visits

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-04-26
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Survey response — day 42, dose 4
MedDRA: Dyspnoea, Weight increased — 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: Weight gain and difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Report sent to call center — day 42, 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 · 1 call case(s)
2022-05-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-11
Survey response — 3 months, dose 4
MedDRA: Hyperphagia, Obsessive-compulsive disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Compulsive behavior like overeating and consuming alcohol. · Healthcare visit (other): Psych visit and medication change

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-12
Call successful
Does not wish to fill out VAERS report
2022-10-10
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-11
Survey response — 12 months, dose 4
MedDRA: COVID-19, Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-11
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-12
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-24	Moderna
3	2021-10-18	Moderna	No
4	2022-04-11	Moderna	No

Call center

12 call center cases

12 successful

VAERS report filed, before or during a call: 6

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): COPD and Sleep Apnea, a bit harder to breathe deeply today.

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Difficulty breathing deeply

2021-02-01

Systemic reaction (other): Difficulty breathing deeply

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Difficulty breathing

Release 3 — day 14, dose 1

2021-02-09

Symptoms: More difficulty breathing than usual.

Release 4 — day 28, dose 1

2021-02-23

Symptoms: Trouble breathing, out of breath, fatigue.

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Shortness of breath, pressure on chest and in legs.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Shortness of breath, leg swelling.

Healthcare visit (other): Doctors office

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Difficulty breathing, fever

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Lymphedema in both legs, worsening of COPD symptoms especially shortness of breath.

Healthcare visit (other): Doctors appointment in office

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Greater difficulty breathing

Healthcare visit (other): In office visit

Release 10 — day 21, dose 3

2021-11-08

Symptoms: Joint pain, and increased difficulty breathing.

Release 10 — day 42, dose 3

2021-11-29

Symptoms: Breathing is more difficult. But, I have COPD and the cold air is probably the cause.

Healthcare visit (other): In-office visit with pulmonologist

Release 10 — 3 months, dose 3

2022-01-17

Symptoms: COPD exacerbation, public acquired pneumonia. I do not think this is vaccine related.

Release 11 — 6 months, dose 3

2022-04-19

Symptoms: Community acquired pneumonia in December. Shortness of breath is increasing.

Healthcare visit (other): Doctors office visits

Release 11 — day 42, dose 4

2022-05-23

Symptoms: Weight gain and difficulty breathing

Release 12 — 3 months, dose 4

2022-07-11

Symptoms: Compulsive behavior like overeating and consuming alcohol.

Healthcare visit (other): Psych visit and medication change

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	Chest discomfort	✓	✓	✓
SD	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hyperphagia	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Lymphoedema	✓	✓	✓
SD	Obsessive-compulsive disorder	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Weight increased	·	·	✓
SRO	Chronic obstructive pulmonary disease	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Sleep apnoea syndrome	✓	✓	✓

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