3WK-44230-70442

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 777 / TX
Registered: 2020-12-28

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
2196559 (opens in a new window)	high	10 / 11	1	1 of 4 VAERS symptoms	same dose (3)	TX matches	2021-08-20 / 2021-08-21 / 2022-03-24 received the same day as the last call	case 236294

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache was not bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Arthralgia, Pain — Feeling: Fair

Free text: Pain in my right hip radiating down my thigh. Dont know if it is related to the vaccine. Did nothing to cause it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 42, dose 2
MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in right hip joint radiating down my thigh.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Hip surgery, Stress fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: I developed a stress fracture in my right hip which required surgery 3 weeks ago.Dont know if related to shot but thought I would mention.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Hip fracture, Hip surgery, Surgery — 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 · Hospitalization

Free text: Symptoms: Had surgery for a stress fracture in my right hip on April 1st 2021. · Healthcare visit (other): Surgery

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
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

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2021-07-30
Call 2 — Left Voicemail
2021-08-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-20
Dose 3 — Moderna
2021-11-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-20
Survey response — 6 months, dose 3
MedDRA: Back pain, Office visit, Physiotherapy, Trigeminal neuralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Lower left back pain issues and under going physical therapy ordered by my primary care doctorto correct snd Trigeminal Neuralgia of right side of face and I visited and ENT doctor to have treated. Both issues started shortly after my booster shot.

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-24
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-08-20	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Headache was not bad.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Pain in my right hip radiating down my thigh. Dont know if it is related to the vaccine. Did nothing to cause it.

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Pain in right hip joint radiating down my thigh.

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: I developed a stress fracture in my right hip which required surgery 3 weeks ago.Dont know if related to shot but thought I would mention.

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Had surgery for a stress fracture in my right hip on April 1st 2021.

Healthcare visit (other): Surgery

Release 11 — 6 months, dose 3

2022-02-20

Symptoms: Lower left back pain issues and under going physical therapy ordered by my primary care doctorto correct snd Trigeminal Neuralgia of right side of face and I visited and ENT doctor to have treated. Both issues started shortly after my booster shot. cut off by CDC

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	Surgery	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Hip fracture	✓	·	✓
SD	Hip surgery	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Stress fracture	✓	✓	✓
SD	Trigeminal neuralgia	·	·	✓
SRO	Headache	✓	✓	✓

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