4J3-31828-38941

2 vaccinations 16 coded responses 21 check-ins 16 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 907 / CA
Registered: 2021-01-13

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
2113925 (opens in a new window)	high	11 / 11	—	6 of 10 VAERS symptoms	same dose (2)	CA matches	2021-02-08 / 2021-02-08 / 2022-02-15 received the same day as the last call	case 178568

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

2021-01-11
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain

Free text: I had not signed up here prior to shot on 1/11, but for 3 days I had some intermittent nausea since shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Survey response — day 0, dose 2
MedDRA: Arthralgia, Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Under arm soreness and back shoulder (side of site on right)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Lymph node pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Severe pain under arm in lymph node area where shot side was, pain in right shoulder mid back area (shot right arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in right under arm lymph node area and right back shoulder area (shot on right side)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Injection site erythema, Injection site mass — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in right under arm and back right shoulder. Red hard area on right arm, shot site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Myalgia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Severe pain under right armpit in lymph node area swollen, and mid back right shoulder muscle very painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Swollen lymph node under arm shot side. Hard to lift or use arm, pain in back right shoulder blade area muscles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Lymph node pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in lymph nodes under right armpit, pain in back shoulder muscular area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Arthralgia, Axillary pain, Lymphadenopathy — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain under arm shot given swollen lymph nodes and pain back right shoulder muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Survey response — day 21, dose 2
MedDRA: Axillary pain, Limb discomfort, Lymph node pain, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Increased lymph node pain and discomfort under armpit, shot side - right. Persistent muscle pain in back shoulder area right side too. I keep trying to reach my dr. For an appointment!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 28, dose 2
MedDRA: Axillary pain, Back pain, Lymphadenitis, Myalgia, Office visit — 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: Symptoms: Very sore under shot arm inflamed lymph nodes and continued pain in back right muscles by shoulder blade · Healthcare visit (other): Being referred to physical therapy this Weds for an appointment and treatment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 35, dose 2
MedDRA: Arthralgia, Back pain, Lymph node pain, Myalgia, Office visit — 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: Symptoms: Worsening back/shoulder muscles, and pain under arm in lymph nodes. · Healthcare visit (other): Physical therapy visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 42, dose 2
MedDRA: Back pain, Breast pain, Lymph node pain, Mobility decreased, Myalgia, Office visit, Pain in extremity, Swelling, Unevaluable event — 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: Symptoms: Pain in lymph nodes under my arm, pain increasing there & in my r) breast r) side vaccine). Contd pain in back right shoulder muscle. Pain now down back of the right arm. Swelling 4 areas. Limited use of arm. Dr visit yest ordered OT lymph certifi · Healthcare visit (other): OT lymph certified ordered urgent status

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Axillary pain, Axillary web syndrome, Breast discomfort, Breast pain, Breast swelling, Discomfort, Limb discomfort, Lymph node pain, Lymphadenopathy, Oedema peripheral, Pain in extremity, Peripheral swelling, Physiotherapy — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increased pain, discomfort swelling in axilla, lymph nodes, right breast, all over arm & cording veins in arm - this vaccine wasnt safe! I feel so deceived! 3 mos since 2nd shot 2/8 still in major pain! Moderna should be sued! Take off market no · Healthcare visit (other): Ongoing Physical therapy, ultrasounds, MRI, diagnostic mammogram

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
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)
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Axillary pain, Discomfort, Hypoaesthesia, Insomnia, Lymph node pain, Lymphadenopathy, Office visit, Pain in extremity, Sleep disorder — 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: Symptoms: Numb arm at times & continued pain in right arm, pain with swollen lymph nodes in right axilla, right breast (shot side).Difficulty sleeping with ability to find a comfortable position for arm & axilla with pain, wakes me at night.Contact me! · Healthcare visit (other): In office Drs visits, MRI, many ultrasounds

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-11
Call 1 — Left Voicemail
2022-02-08
Survey response — 12 months, dose 2
MedDRA: Adverse reaction, Anger, COVID-19, Office visit, Pain, Telemedicine — Feeling: Poor · 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: Symptoms: Got Covid 1/27/22 and STILL suffering side effects/pain from 2nd Moderna vaccine 2/8/22, as well as continued medical treatment and tests for reactions. So ANGRY about this ALL! Moderna should be held liable for the pain and suffering I still have! · Healthcare visit (other): Numerous ultrasounds and MRI and in person and virtual visits with MD.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail
2022-02-11
Call 2 — Requested Callback
2022-02-14
Call 3 — Requested Callback
2022-02-15
Callback requested for
04:00PM ET
2022-02-15
Call X — Left Voicemail
2022-02-15
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 6

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): I had not signed up here prior to shot on 1/11, but for 3 days I had some intermittent nausea since shot.

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): Under arm soreness and back shoulder (side of site on right)

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Severe pain under arm in lymph node area where shot side was, pain in right shoulder mid back area (shot right arm)

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Pain in right under arm lymph node area and right back shoulder area (shot on right side)

2021-02-11

Systemic reaction (other): Pain in right under arm and back right shoulder. Red hard area on right arm, shot site.

2021-02-12

Systemic reaction (other): Severe pain under right armpit in lymph node area swollen, and mid back right shoulder muscle very painful.

2021-02-13

Systemic reaction (other): Swollen lymph node under arm shot side. Hard to lift or use arm, pain in back right shoulder blade area muscles.

2021-02-14

Systemic reaction (other): Pain in lymph nodes under right armpit, pain in back shoulder muscular area

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Pain under arm shot given swollen lymph nodes and pain back right shoulder muscles

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Increased lymph node pain and discomfort under armpit, shot side - right. Persistent muscle pain in back shoulder area right side too. I keep trying to reach my dr. For an appointment!!!

Release 5 — day 28, dose 2

2021-03-08

Symptoms: Very sore under shot arm inflamed lymph nodes and continued pain in back right muscles by shoulder blade

Healthcare visit (other): Being referred to physical therapy this Weds for an appointment and treatment.

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Worsening back/shoulder muscles, and pain under arm in lymph nodes.

Healthcare visit (other): Physical therapy visits

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Pain in lymph nodes under my arm, pain increasing there & in my r) breast r) side vaccine). Contd pain in back right shoulder muscle. Pain now down back of the right arm. Swelling 4 areas. Limited use of arm. Dr visit yest ordered OT lymph certifi

Healthcare visit (other): OT lymph certified ordered urgent status

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Increased pain, discomfort swelling in axilla, lymph nodes, right breast, all over arm & cording veins in arm - this vaccine wasnt safe! I feel so deceived! 3 mos since 2nd shot 2/8 still in major pain! Moderna should be sued! Take off market no

Healthcare visit (other): Ongoing Physical therapy, ultrasounds, MRI, diagnostic mammogram

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Numb arm at times & continued pain in right arm, pain with swollen lymph nodes in right axilla, right breast (shot side).Difficulty sleeping with ability to find a comfortable position for arm & axilla with pain, wakes me at night.Contact me!

Healthcare visit (other): In office Drs visits, MRI, many ultrasounds

Release 11 — 12 months, dose 2

2022-02-08

Symptoms: Got Covid 1/27/22 and STILL suffering side effects/pain from 2nd Moderna vaccine 2/8/22, as well as continued medical treatment and tests for reactions. So ANGRY about this ALL! Moderna should be held liable for the pain and suffering I still have! cut off by CDC

Healthcare visit (other): Numerous ultrasounds and MRI and in person and virtual visits with MD.

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	✓	✓	✓
HCVO	Telemedicine	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Adverse reaction	·	·	✓
SD	Anger	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Axillary web syndrome	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Breast discomfort	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Breast swelling	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Discomfort	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Insomnia	✓	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenitis	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Sleep disorder	✓	·	✓
SD	Swelling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓

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