3FD-55732-78997

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 342 / FL
Registered: 2021-03-18

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
2258564 (opens in a new window)	high	10 / 11	2	7 of 16 VAERS symptoms	same dose (2)	FL matches	2021-04-14 / 2021-08-24 / 2022-04-29 received 281 days after the last call	case 853091

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-28
Health check-in — day 14, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Survey response — day 28, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arthritis pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 35, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain, probably due to arthritis & fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Back pain, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe low back pain radiating to foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Back pain, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diabetes & back pain · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Cough, Diarrhoea, Fatigue, Hospitalisation, Nausea, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Tested positive for COVID with symptoms ( cough, fever, loss of taste and smell) Was hospitalized for 6 days at time of admission had low oxygen nausea, diarrhea and extreme fatigue. Was released home with oxygen on 9/9/2021. Still having some issue

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-15
Call 1 — Left Voicemail
2021-10-15
Call successful
Completed over the phone
2021-10-25
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Good · Site: Pain, Itching · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Arthritis pain/symptoms seem more intense than usual

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — day 21, dose 3
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in back & hip. Hands & feet also hurt.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Head cold

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Office visit, Pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased pain · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 6 months, dose 3
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)
2022-04-29
Call 1 — Requested Callback
2022-05-05
Callback requested for
03:15PM ET
2022-05-05
Call successful
Completed over the phone
2022-10-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-10-25	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Arthritis pain

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Pain, probably due to arthritis & fibromyalgia

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Severe low back pain radiating to foot

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Diabetes & back pain

Healthcare visit (other): PCP

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Tested positive for COVID with symptoms ( cough, fever, loss of taste and smell) Was hospitalized for 6 days at time of admission had low oxygen nausea, diarrhea and extreme fatigue. Was released home with oxygen on 9/9/2021. Still having some issue cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Arthritis pain/symptoms seem more intense than usual

Release 10 — day 21, dose 3

2021-11-15

Symptoms: Pain in back & hip. Hands & feet also hurt.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Head cold

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Increased pain

Healthcare visit (other): Office visit

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Arthritis	·	·	✓
SRO	Pre-existing disease	·	·	✓

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