3F9-15784-23914

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 322 / FL
Registered: 2021-01-14

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
1515763 (opens in a new window)	high	8 / 11	2	0 of 10 VAERS symptoms	same dose (2)	FL matches	2021-02-11 / 2021-02-11 / 2021-07-30 received the same day as the last call	case 323238

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain

Free text: I am a chemo patient with last chemo dose 1/12/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Discomfort has changed from just the injection site to muscles around the area slightly into the bicep and shoulder blade. I cannot lift my arm but theres just more muscle tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Injection site pain, Myalgia, Symptom recurrence — Feeling: Good

Free text: Muscle pain in upper back and shoulder stemming from injection site had gone away about 4 days after injection but came back a week later. Not as bad and getting better now.

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

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: Adverse reaction, Myalgia — Feeling: Good

Free text: Left axillary lymph node lit up on pet scan from first vaccine which radiologist believes is reactionary from first Covid vaccine. I get pet scans every 3 months and never had this before. Did have a lot of muscle pain on left into scapula and across thorax after first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting · Be unable to work

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-02-16
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Severe adverse reaction suspected to piqray. Bad rash with DRESS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 28, dose 2
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)
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Call successful
Completed over the phone
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): I am a chemo patient with last chemo dose 1/12/21

2021-01-18

Systemic reaction (other): Discomfort has changed from just the injection site to muscles around the area slightly into the bicep and shoulder blade. I cannot lift my arm but theres just more muscle tenderness

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Muscle pain in upper back and shoulder stemming from injection site had gone away about 4 days after injection but came back a week later. Not as bad and getting better now.

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Left axillary lymph node lit up on pet scan from first vaccine which radiologist believes is reactionary from first Covid vaccine. I get pet scans every 3 months and never had this before. Did have a lot of muscle pain on left into scapula and across thorax after first vaccine

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Severe adverse reaction suspected to piqray. Bad rash with DRESS.

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
SD	Adverse reaction	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Symptom recurrence	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Unevaluable event	○	✓	○

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