3RP-24528-25267

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 4 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 785 / TX
Registered: 2021-01-07

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1545327 (opens in a new window)	high	9 / 11	—	3 of 17 VAERS symptoms	same dose (2)	TX matches	2021-02-04 / 2021-08-02 / 2021-08-11 received 146 days after the last call	case 358421

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache

Free text: Some reinflammation from previous issues but nothing new

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Previous issues non related to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 28, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Pelivic pain discomfort infection, not related to Covid vaccine pre existing ongoing issue not related to Covid vaccine · Healthcare visit (other): Dr visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 35, dose 2
MedDRA: Burning sensation, Confusional state, Dysuria, Inflammatory pain, Insomnia, Pelvic inflammatory disease, Pelvic pain, Perineal pain, Pre-existing disease, Proctalgia, Proctitis, Sensory disturbance — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pelvic rectal inflammation pain occasional burning on urination fine burning to thighs occasional biting feelings in perineal region thighs, not from Covid vaccine. From previous ongoing issues. Insomnia, confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 42, dose 2
MedDRA: Burning sensation, Pelvic inflammatory disease, Pelvic pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Rectal burning pain pelvic inflammation not related to Covid vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
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)
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Hypersensitivity, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Self-medication, Sinus congestion — Feeling: Fair · 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: Developed really bad/severe allergies running nose, head congestion, sinus congestion and general body aches, had nasal swab Covid 19 test 8/3/21 at Drs office and was negative, treating with otc medication.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
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

1 call case(s)
2021-08-10
Call 1 — Left Voicemail
2021-08-11
Call 2 — Requested Callback
2021-08-11
Callback requested for
12:40PM ET
2021-08-11
Call successful
Completed over the phone
2022-02-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-16

Systemic reaction (other): Some reinflammation from previous issues but nothing new

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Previous issues non related to vaccine

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Pelivic pain discomfort infection, not related to Covid vaccine pre existing ongoing issue not related to Covid vaccine

Healthcare visit (other): Dr visits

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Pelvic rectal inflammation pain occasional burning on urination fine burning to thighs occasional biting feelings in perineal region thighs, not from Covid vaccine. From previous ongoing issues. Insomnia, confusion

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Rectal burning pain pelvic inflammation not related to Covid vaccine

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Developed really bad/severe allergies running nose, head congestion, sinus congestion and general body aches, had nasal swab Covid 19 test 8/3/21 at Drs office and was negative, treating with otc medication.

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	Unevaluable event	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Dysuria	✓	✓	✓
SD	Hypersensitivity	✓	·	✓
SD	Inflammatory pain	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pelvic inflammatory disease	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Perineal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Proctalgia	✓	✓	✓
SD	Proctitis	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Self-medication	✓	·	✓
SD	Sensory disturbance	✓	✓	✓
SD	Sinus congestion	✓	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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