3V3-54397-28719

5 vaccinations 9 coded responses 58 check-ins 8 free-text entries 4 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 440 / OH
Registered: 2021-03-16

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
2504491 (opens in a new window)	high	11 / 11	3	5 of 9 VAERS symptoms	same dose (5)	OH matches	2022-10-26 / 2022-11-02 / 2022-11-10 received the same day as the last call	case 1162737

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness

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: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Muscle aches, bilateral in thoracic back area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation — Feeling: Good · Nausea

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Arthritis, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit

Free text: Arthritis flare ups not believed related to covid.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
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)
2021-10-13
Call 1 — Could Not Reach Participant
2021-10-14
Dose 3 — Moderna
Co-administered: Flu
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-18
Call 2 — Could Not Reach Participant
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-09
Dose 4 — Pfizer-BioNTech
2022-07-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-07-12
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Survey response — days 1–6 daily, dose 4
MedDRA: Laryngitis — Feeling: Fair

Free text: Laryngitis (believe to be viral from non-vaccine source)

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-07-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-07-16
Survey response — day 7, dose 4
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-26
Dose 5 — Moderna
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-09
Survey response — day 14, dose 5
MedDRA: Chills, Cough, Fatigue, Pyrexia, Rhinorrhoea, 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

Free text: Fatigue, chills, minor fever, cough, running nose on 10/3. Positive home rapid test for SARS-CoV-2 same day. Confirmed with PCR test 10/4.

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Report sent to call center — day 14, dose 5
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 · 1 call case(s)
2022-11-10
Call successful
Not applicable - Accidental Reporting
2022-11-10
Call successful
Not applicable - Accidental Reporting
2022-11-10
Call successful
Completed over the phone
2022-11-16
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-30
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-07
Survey response — day 42, dose 5
MedDRA: Cough — Feeling: Fair

Free text: Cough, suspicious of Influenza A as family members have tested positive for that. My symptoms are minor. [I had Influenza vaccination.]

MedDRA releases: 2024-11 · check-in free text available
2023-01-25
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-26
Survey response — 6 months, dose 5
MedDRA: Cardiac disorder, Chest pain, Fatigue — 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, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-26
Report sent to call center — 6 months, dose 5
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-27
Call 1 — Requested Callback
2023-04-27
Callback requested for
04:00PM ET
2023-04-27
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-10-14	Moderna	Flu
4	2022-07-09	Pfizer-BioNTech	No
5	2022-10-26	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Muscle aches, bilateral in thoracic back area

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Constipation

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Arthritis flare ups not believed related to covid.

Release 12 — days 1–6 daily, dose 4

2022-07-12

Systemic reaction (other): Cough

2022-07-13

Systemic reaction (other): Laryngitis (believe to be viral from non-vaccine source)

Release 12 — day 7, dose 4

2022-07-16

Systemic reaction (other): Cough

Release 12 — day 14, dose 5

2022-11-09

Symptoms: Fatigue, chills, minor fever, cough, running nose on 10/3. Positive home rapid test for SARS-CoV-2 same day. Confirmed with PCR test 10/4.

Release 12 — day 42, dose 5

2022-12-07

Symptoms: Cough, suspicious of Influenza A as family members have tested positive for that. My symptoms are minor. [I had Influenza vaccination.]

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	Arthritis	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Laryngitis	·	·	✓

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