3C3-28484-64399

2 vaccinations 10 coded responses 17 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 891 / NV
Registered: 2021-04-03

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
1578693 (opens in a new window)	high	11 / 11	—	5 of 7 VAERS symptoms	same dose (2)	NV matches	2021-05-07 / 2021-05-14 / 2021-08-17 received the same day as the last call	case 916051

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

2021-04-02
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chromaturia — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My urine is bright orange

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Back aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-02
Survey response — day 28, dose 1
MedDRA: Abdominal distension, Abdominal pain, Abdominal pain upper, Asthenia, Fatigue, Headache, Muscle spasms, Pain — Feeling: Poor · Be unable to work, 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: Stomach aches, belly pains, bloating cramping body aches, fatigue overall weakness and tired, headaches. Body pen sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Dose 2 — Moderna
2021-05-14
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Feet in pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Fatigue, Headache, Myalgia, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, sore muscles, tight body aches, headaches, tiredness, abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Fatigue, Headache, Muscle spasms, Myalgia, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, sore muscles, body aches, abdominal pain, cramping, headaches, loss of interest in physical activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Office visit, Penile infection — Feeling: Poor · Be unable to work or attend school, 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: Symptoms: Abdominal pain, open I fected sores on my penis · Healthcare visit (other): Dermatologist.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-17
Call successful
Completed over the phone
2021-11-10
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Fatigue, Muscular weakness, Rash — Feeling: Fair · Be unable to work or attend school, 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: Fatigue, rash, muscle weakness, belly aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2022-05-09
Survey response — 12 months, dose 2
MedDRA: Abdominal pain, Headache, Myalgia, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches, abdominal pain muscle aches blurt vision

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-05-07	Moderna

Call center

3 call center cases

2 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Dizzy

2021-04-05

Systemic reaction (other): My urine is bright orange

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Back aches

Release 8 — day 28, dose 1

2021-05-02

Symptoms: Stomach aches, belly pains, bloating cramping body aches, fatigue overall weakness and tired, headaches. Body pen sores

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Feet in pain

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Fatigue, sore muscles, tight body aches, headaches, tiredness, abdominal pain.

Release 8 — day 28, dose 2

2021-06-05

Symptoms: Fatigue, sore muscles, body aches, abdominal pain, cramping, headaches, loss of interest in physical activities

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Abdominal pain, open I fected sores on my penis

Healthcare visit (other): Dermatologist.

Release 10 — 6 months, dose 2

2021-11-10

Symptoms: Fatigue, rash, muscle weakness, belly aches

Release 11 — 12 months, dose 2

2022-05-09

Symptoms: Headaches, abdominal pain muscle aches blurt vision

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	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Penile infection	✓	·	✓
SD	Rash	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Chromaturia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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