45J-13719-85912

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 156 / PA
Registered: 2021-03-08

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
2314083 (opens in a new window)	high	9 / 11	3	2 of 11 VAERS symptoms	same dose (3)	PA matches	2021-12-07 / 2021-12-10 / 2022-06-09 received the same day as the last call	case 771618

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Moderna
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches

Free text: Sciatic pain in both legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Diarrhea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Chest discomfort, Insomnia — Feeling: Poor · Site: Pain · Fever · Headache, Nausea · Be unable to do your normal daily activities

Free text: Asthma. Had chest tightness could not sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Site: Swelling · Nausea, Diarrhea

Free text: Chest pressure for a couple days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Nausea, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart palpitations, nausea diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Headache, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diarrhea, nausea, bad headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-08
Call successful
Does not wish to fill out VAERS report
2021-12-07
Dose 3 — Moderna
2022-03-08
Survey response — 3 months, dose 3
MedDRA: Axillary pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: After booster shot on 12/7/21 my arm started hurting thru to under my arms. Four weeks later got a mammo and it was ok. Had ultrasound and had nonspecific lymph nodes. About a week ago got a cortisone shot but still have constant pain. May have SIRVA

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — 6 months, dose 3
MedDRA: Bursitis, Lymphadenopathy, Office visit, Rotator cuff repair, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Swollen lymph nodes under arm then had to have rotator cuff surgery and remove the fluid and the tendinitis and bursitis that accumulated in the left arm due to the Moderno booster shot. · Healthcare visit (other): Visit to gynecologist, PCP and orthopedic Dr.

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
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

Emergency room or emergency department visit · 1 call case(s)
2022-06-09
Call successful
Completed over the phone
2022-12-07
Survey response — 12 months, dose 3
MedDRA: COVID-19, Fatigue, Feeling abnormal, Office visit, Palpitations, Physiotherapy, Sciatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Got Covid October 28, 2022. Have bad sciatic pain, palpitations, fatigue, and just feel bad. · Healthcare visit (other): Orthopedic care and physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
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

1 call case(s)
2022-12-08
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-08	Moderna
3	2021-12-07	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Sciatic pain in both legs

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Asthma. Had chest tightness could not sleep

2021-04-10

Systemic reaction (other): Asthma

2021-04-11

Systemic reaction (other): Chest pressure for a couple days

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Heart palpitations, nausea diarrhea

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Diarrhea, nausea, bad headaches.

Release 11 — 3 months, dose 3

2022-03-08

Symptoms: After booster shot on 12/7/21 my arm started hurting thru to under my arms. Four weeks later got a mammo and it was ok. Had ultrasound and had nonspecific lymph nodes. About a week ago got a cortisone shot but still have constant pain. May have SIRVA cut off by CDC

Release 11 — 6 months, dose 3

2022-06-08

Symptoms: Swollen lymph nodes under arm then had to have rotator cuff surgery and remove the fluid and the tendinitis and bursitis that accumulated in the left arm due to the Moderno booster shot.

Healthcare visit (other): Visit to gynecologist, PCP and orthopedic Dr.

Release 12 — 12 months, dose 3

2022-12-07

Symptoms: Got Covid October 28, 2022. Have bad sciatic pain, palpitations, fatigue, and just feel bad.

Healthcare visit (other): Orthopedic care and physical therapy

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	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Axillary pain	·	·	✓
SD	Bursitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Rotator cuff repair	·	·	✓
SD	Sciatica	·	·	✓
SD	Tendonitis	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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