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3XL-15572-04118

2 vaccinations 3 coded responses 4 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
841 / UT
Registered
2021-03-04
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1959426 (opens in a new window) high 11 / 11 1 5 of 10 VAERS symptoms same dose (1) UT matches 2021-02-20 / 2021-02-21 / 2021-12-17
received the same day as the last call
 case 334687

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

  1. 2021-02-20
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Headache, Injection site pain, Mobility decreased, Neck pain, Self-medication — Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Had minor pain at the injection site a week after the injection and a day later the pain moved to my shoulder then a couple days later into my neck right side up into the base of my head making it almost impossible to turn my head or raise my arm to the right. If I take Tylenol or Ibuprofen it eases up for 4 to 6 hrs. This is the third day that the pain has been severe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-03-13
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Back pain, Blood pressure increased, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pain in my shoulder, neck & back on different days. My blood pressure has raised. My docotor told me to monitor it. · Healthcare visit (other): In office annual check up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-20
    Dose 2 — Moderna
  8. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site mass, Injection site pain, Injection site rash, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Arm is itchy & has a sore lump & rash around the injection site, blood pressure has gone since the 1st shot!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-12-17
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-20Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Had minor pain at the injection site a week after the injection and a day later the pain moved to my shoulder then a couple days later into my neck right side up into the base of my head making it almost impossible to turn my head or raise my arm to the right. If I take Tylenol or Ibuprofen it eases up for 4 to 6 hrs. This is the third day that the pain has been severe.

Release 5 — day 21, dose 1

2021-03-13

Symptoms: Pain in my shoulder, neck & back on different days. My blood pressure has raised. My docotor told me to monitor it.
Healthcare visit (other): In office annual check up

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Arm is itchy & has a sore lump & rash around the injection site, blood pressure has gone since the 1st shot!

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBlood pressure increased ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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