3X3-12757-28445

3 vaccinations 12 coded responses 36 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 295 / SC
Registered: 2021-02-09

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
2263580 (opens in a new window)	high	11 / 11	1	1 of 2 VAERS symptoms	same dose (2)	SC matches	2021-03-09 / 2021-03-14 / 2022-05-04 received the same day as the last call	case 776733

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Good

Free text: Area around injection site is a largr red area than the last 2 weeks sore and swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Redness · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cystitis — Feeling: Good · Site: Redness, Swelling

Free text: Developed bladder infection not sure its from the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-23
Survey response — day 14, dose 2
MedDRA: Dehydration, Muscle spasms, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a severe muscle spasm in my back. My Dr says it was probably from the fever and getting dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Muscle spasms, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle spasms in back and legs · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Survey response — day 0, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Site: Redness

Free text: Muscle spasms

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Nausea

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Lymp nodes under arm if site of vaccine swollen and painful

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: Lymph nodes under arm swollen and painful

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Redness · Joint pains

Free text: Swollen and painful lymph nodes under arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness

Free text: Swollen and painful lymph nodes under arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Muscle spasms — Feeling: Poor · 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: Muscle spasms throughout my entire body

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-01
Call 1 — Could Not Reach Participant
2022-02-01
Callback requested for
03:00PM ET
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Muscle spasms — 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

Free text: Muscle spasms in entire body

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-04
Call 1 — Requested Callback
2022-05-04
Callback requested for
04:30PM ET
2022-05-04
Call successful
Completed over the phone
2022-05-04
Call successful
Does not wish to fill out VAERS report
2022-10-30
Survey response — 12 months, dose 3
MedDRA: Muscle spasms — 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

Free text: Body spasms

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-31
Call 1 — Left Voicemail
2022-11-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-10-28	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 4 — day 14, dose 1

2021-02-23

Symptoms: Area around injection site is a largr red area than the last 2 weeks sore and swollen.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Developed bladder infection not sure its from the vaccine

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Had a severe muscle spasm in my back. My Dr says it was probably from the fever and getting dehydrated

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Muscle spasms in back and legs

Healthcare visit (other): Office visit

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): Muscle spasms

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Lymp nodes under arm if site of vaccine swollen and painful

2021-10-31

Systemic reaction (other): Lymph nodes under arm swollen and painful

2021-11-01

Systemic reaction (other): Swollen and painful lymph nodes under arm

2021-11-02

Systemic reaction (other): Swollen and painful lymph nodes under arm

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Muscle spasms throughout my entire body

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Muscle spasms in entire body

Release 12 — 12 months, dose 3

2022-10-30

Symptoms: Body spasms

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	Dehydration	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Cystitis	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscle spasms	·	·	✓

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