3AT-13130-81290

2 vaccinations 3 coded responses 24 check-ins 3 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 803 / CO
Registered: 2021-03-12

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
1783117 (opens in a new window)	high	11 / 11	—	5 of 9 VAERS symptoms	same dose (2)	CO matches	2021-04-09 / 2021-04-09 / 2021-10-13 received the same day as the last call	case 1075976

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Good

Free text: Right knee pain similar to arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Nausea

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 28, dose 2
MedDRA: Arthralgia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having on/off nausea as well as arthritic like joint pain in previously injured areas. Thea areas, fingers and knee have not bothered me for years. Pain began shortly after the 1st Moderna vaccine and was worse after the 2nd (now 4 weeks).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Dizziness, Fatigue, Nausea, Office visit, Physiotherapy, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Relapse of vestibular issues. I had a TBI in 2019 that I recovered from almost fully. Since the 2nd Moderna shot a number of symptoms have returned including dizziness, fatigue and nausea. I am doing PT again for some of these issues. · Healthcare visit (other): (b)(6) Med and (b)(6) Health physicians and PT.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-13
Call successful
Completed over the phone
2022-04-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna

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 6 — day 14, dose 1

2021-03-26

Symptoms: Right knee pain similar to arthritis.

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Still having on/off nausea as well as arthritic like joint pain in previously injured areas. Thea areas, fingers and knee have not bothered me for years. Pain began shortly after the 1st Moderna vaccine and was worse after the 2nd (now 4 weeks).

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Relapse of vestibular issues. I had a TBI in 2019 that I recovered from almost fully. Since the 2nd Moderna shot a number of symptoms have returned including dizziness, fatigue and nausea. I am doing PT again for some of these issues.

Healthcare visit (other): (b)(6) Med and (b)(6) Health physicians and PT.

redacted (b)(6)

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	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Nausea	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	·	·	✓

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