2RC-25721-71392

3 vaccinations 16 coded responses 30 check-ins 15 free-text entries 5 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 207 / MD
Registered: 2021-08-08

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1715118 (opens in a new window)	high	10 / 11	—	2 of 7 VAERS symptoms	same dose (2)	MD matches	2021-09-02 / 2021-09-09 / 2021-09-20 received 30 days before the last call	case 1099341

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

2021-08-05
Dose 1 — Moderna
2021-08-08
Registered in v-safe
2021-08-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-08-09
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-08-12
Health check-in — day 7, dose 1
Feeling: Good · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-08-19
Survey response — day 14, dose 1
MedDRA: Hyperhidrosis, Joint stiffness — Feeling: Fair

Free text: sweating easily, joint stiffness in shoulders and wrist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-02
Dose 2 — Moderna
2021-09-02
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Muscle or body aches · Be unable to work or attend school

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-09-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-09-16
Survey response — day 14, dose 2
MedDRA: Arthralgia, Exercise tolerance decreased, Mobility decreased, Muscular weakness, Musculoskeletal stiffness, Office visit, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain and stiffness in left shoulder joint and upper left arm; weakness in left arm as a result. The pain has been increasing since last week Thursday. Very difficult to raise arm above head or carry items/ lift weights as I did before vaccination. · Healthcare visit (other): Urgent visit to primary care doctor

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2021-09-20
Call successful
Participant prefers to complete VAERS report online
2021-09-23
Survey response — day 21, dose 2
MedDRA: Arthralgia, Joint range of motion decreased, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain and decreased range of motion in left shoulder joint for two weeks. Started 1 week after getting 2nd vaccine shot in that arm. · Healthcare visit (other): Urgent appointment to primary care doctor, and xray appointment at radiologist.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-01
Survey response — day 28, dose 2
MedDRA: Arthralgia, Limb discomfort, Musculoskeletal discomfort, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain and discomfort in shoulder joint and arm persisting

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 35, dose 2
MedDRA: Arthralgia, Joint range of motion decreased, Muscular weakness, Musculoskeletal stiffness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shoulder pain, stiffness, loss of strength in arm and limited range of motion continuing. Severity of all four symptoms fluctuate from day to day but no relief. · Healthcare visit (other): Orthopedic appointment

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-13
Call successful
Other
2021-10-16
Survey response — day 42, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: No relief from shoulderr pain and stiffness in left shoulder that started 1 week after second vaccination. · Healthcare visit (other): Urgent orthopedic doctor visit for evaluation.

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-20
Call successful
Reported to VAERS during previous contact from GDIT
2021-12-04
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Musculoskeletal discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder pain and discomfort in same sholder as vaccine, still persisting.

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Dose 3 — Moderna
2022-03-05
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · 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: Continued pain in left ahiulder, left arm

MedDRA releases: 2024-11 · check-in free text available
2022-03-05
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-06
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-03-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-03-08
Call 1 — Left Voicemail
2022-03-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-03-11
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-25
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache, Insomnia, Ocular discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, fatigue during day, insomnia, eye discomfort

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — day 28, dose 3
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in left shoulder that received vaccination, soreness from shoulder to fingers. Pain in left hip and back

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — day 35, dose 3
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Fatigue during daytime. Pain in shoulder where got original vaccine persisting.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Survey response — day 42, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in left shoulder still present 7 months after vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — 3 months, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stiff shoulder has not improved.

MedDRA releases: 2024-11 · check-in free text available
2023-03-07
Survey response — 12 months, dose 3
MedDRA: Cardiac failure congestive, Respiratory tract congestion, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-05	Moderna	No
2	2021-09-02	Moderna	No
3	2022-03-04	Moderna	No

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-09

Systemic reaction (other): sore throat

Release 9 — day 14, dose 1

2021-08-19

Symptoms: sweating easily, joint stiffness in shoulders and wrist

Release 9 — day 14, dose 2

2021-09-16

Symptoms: Pain and stiffness in left shoulder joint and upper left arm; weakness in left arm as a result. The pain has been increasing since last week Thursday. Very difficult to raise arm above head or carry items/ lift weights as I did before vaccination. cut off by CDC

Healthcare visit (other): Urgent visit to primary care doctor

Release 9 — day 21, dose 2

2021-09-23

Symptoms: Pain and decreased range of motion in left shoulder joint for two weeks. Started 1 week after getting 2nd vaccine shot in that arm.

Healthcare visit (other): Urgent appointment to primary care doctor, and xray appointment at radiologist.

Release 9 — day 28, dose 2

2021-10-01

Symptoms: Pain and discomfort in shoulder joint and arm persisting

Release 10 — day 35, dose 2

2021-10-08

Symptoms: Shoulder pain, stiffness, loss of strength in arm and limited range of motion continuing. Severity of all four symptoms fluctuate from day to day but no relief.

Healthcare visit (other): Orthopedic appointment

Release 10 — day 42, dose 2

2021-10-16

Symptoms: No relief from shoulderr pain and stiffness in left shoulder that started 1 week after second vaccination.

Healthcare visit (other): Urgent orthopedic doctor visit for evaluation.

Release 10 — 3 months, dose 2

2021-12-04

Symptoms: Shoulder pain and discomfort in same sholder as vaccine, still persisting.

Release 11 — 6 months, dose 2

2022-03-05

Symptoms: Continued pain in left ahiulder, left arm

Release 11 — days 1–6 daily, dose 3

2022-03-06

Systemic reaction (other): lightheadedness

Release 11 — day 21, dose 3

2022-03-25

Symptoms: Headaches, fatigue during day, insomnia, eye discomfort

Release 11 — day 28, dose 3

2022-04-01

Symptoms: Pain in left shoulder that received vaccination, soreness from shoulder to fingers. Pain in left hip and back

Release 11 — day 35, dose 3

2022-04-09

Symptoms: Fatigue during daytime. Pain in shoulder where got original vaccine persisting.

Release 11 — day 42, dose 3

2022-04-15

Symptoms: Pain in left shoulder still present 7 months after vaccination

Release 11 — 3 months, dose 3

2022-06-03

Symptoms: Stiff shoulder has not improved.

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	Back pain	·	·	✓
SD	Cardiac failure congestive	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	✓	·	✓
SD	Insomnia	·	·	✓
SD	Joint range of motion decreased	·	·	✓
SD	Joint stiffness	✓	·	✓
SD	Limb discomfort	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Ocular discomfort	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Oropharyngeal pain	✓	·	✓

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