4V9-29616-41484

3 vaccinations 5 coded responses 15 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 770 / TX
Registered: 2021-01-31

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
1374441 (opens in a new window)	high	11 / 11	4	2 of 3 VAERS symptoms	same dose (1)	TX matches	2021-01-16 / 2021-01-19 / 2021-06-04 received the same day as the last call	case 138886

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

2021-01-16
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Survey response — day 14, dose 1
MedDRA: Erythema, Medical counselling, Pruritus, Rash papular — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: 1/ 26 my upper arm began to itch. 1/ 27 itching became intense and a red area developed. On 1/28 itching was less but red area spread to approximately 3.5 in. wide X 5in. long. 1/29 red area smaller but raised. 1/30 redness fading · Healthcare visit (other): phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-04
Call successful
Completed over the phone
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Dose 3 — Moderna
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-26
Survey response — day 35, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: I have asthma and symptoms have increased within the last two weeks.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 42, dose 3
MedDRA: Respiratory symptom — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased asthma symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — 3 months, dose 3
MedDRA: Arthritis, Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Exacerbated asthma symptoms and inflamation in wrists and thumb joints

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Office visit, Orthosis user, Pain in jaw — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Wrist joint pain in left wrist since early January, same arm as first covid shot. Currently taking Meloxicam and wearing a wrist brace. Also suffered wrist pain in right wrist, left knee which cleared up and pain in lower left jaw which continues. · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna
3	2021-09-21	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-01-31

Symptoms: 1/ 26 my upper arm began to itch. 1/ 27 itching became intense and a red area developed. On 1/28 itching was less but red area spread to approximately 3.5 in. wide X 5in. long. 1/29 red area smaller but raised. 1/30 redness fading

Healthcare visit (other): phone call

Release 10 — day 35, dose 3

2021-10-26

Symptoms: I have asthma and symptoms have increased within the last two weeks.

Release 10 — day 42, dose 3

2021-11-04

Symptoms: Increased asthma symptoms

Release 10 — 3 months, dose 3

2021-12-21

Symptoms: Exacerbated asthma symptoms and inflamation in wrists and thumb joints

Release 11 — 6 months, dose 3

2022-03-24

Symptoms: Wrist joint pain in left wrist since early January, same arm as first covid shot. Currently taking Meloxicam and wearing a wrist brace. Also suffered wrist pain in right wrist, left knee which cleared up and pain in lower left jaw which continues.

Healthcare visit (other): Dentist

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Asthma	·	·	✓
SD	Erythema	✓	✓	✓
SD	Orthosis user	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Respiratory symptom	·	·	✓

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