53E-24067-57981

2 vaccinations 14 coded responses 28 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 442 / OH
Registered: 2021-05-09

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
1367975 (opens in a new window)	high	11 / 11	—	7 of 13 VAERS symptoms	same dose (1)	OH matches	2021-05-08 / 2021-05-08 / 2021-06-02 received the same day as the last call	case 744952

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

2021-05-08
Dose 1 — Janssen/Johnson & Johnson
2021-05-09
Registered in v-safe
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Balance disorder, Chills, Discomfort, Dyspnoea, Feeling cold, Feeling hot, Feeling of body temperature change, Hyperhidrosis, Neck pain, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Back pain, neck pain, heavy breathing, slightly off balance when standing or walking , feeling like my body is very heavy, alternating feeling really hot where I'm sweating and feeling so cold I'm shivering/ shaking uncontrollably

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Neck pain — Feeling: Fair · Headache

Free text: Along with headache since my injection, back of head extending down back of neck continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Headache

Free text: Headache at back of head going down onto back of neck continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Neck pain — Feeling: Fair · Headache

Free text: Headache going down back of neck continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache

Free text: Still the same

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 14, dose 1
MedDRA: Headache, Neck pain — Feeling: Fair

Free text: Headaches (back side) continue daily and down the back of my neck. Right upper arm, site of injection, full ache in muscle, outer and inner side of arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 21, single dose
MedDRA: Ear pain, Eye pain, Headache, Neck pain, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continuous headache 24/7, mainly back side on left. Goes into neck and stretches to the entire left side of my head. Causes ear pain and eye pain on the left. Also somebody aches. Being treated by my PCP, and have a brain MRI scheduled for June 11th. · Healthcare visit (other): Appt with PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 21, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Call 1 — Left Voicemail
2021-06-02
Call successful
Completed over the phone
2021-06-05
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-06-12
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-11-06
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-01-21
Dose 2 — Moderna
2022-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Office visit — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I believe my symptoms are related to my J & J May 2021. Have had continuous symptoms and appts with multiple MD's. Seeing Neurologist at (b)(6) I in (b)(6), Ohio

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: As I reported yesterday, symptoms ongoing from J & J fromm May 2021. So serious side affects from my Moderna booster.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Due to adverse reaction to J & J May 2021

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: All symptoms related to J & J vaccine May 2021

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Cardiac failure congestive, Medical procedure, Office visit, Pain management, Physiotherapy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): All symptoms related to J & J vaccine from May 2021 · Healthcare visit (other): In last 8 months, seen by PCP, Pain management, PT, and local Neurologist. Multiple procedures. Now with (b)(6) Neurology (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Reported previously

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Call 1 — Left Voicemail
2022-01-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-28
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Previously reported due to J & J, not Moderna booster

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-02-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2022-02-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-02-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-03-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-08	Janssen/Johnson & Johnson
2	2022-01-21	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 8 — days 1–6 daily, dose 1

2021-05-09

Systemic reaction (other): Back pain, neck pain, heavy breathing, slightly off balance when standing or walking , feeling like my body is very heavy, alternating feeling really hot where I'm sweating and feeling so cold I'm shivering/ shaking uncontrollably

2021-05-12

Systemic reaction (other): Along with headache since my injection, back of head extending down back of neck continues

2021-05-13

Systemic reaction (other): Headache at back of head going down onto back of neck continues

2021-05-14

Systemic reaction (other): Headache going down back of neck continues

Release 8 — day 7, dose 1

2021-05-15

Systemic reaction (other): Still the same

Release 8 — day 14, dose 1

2021-05-23

Symptoms: Headaches (back side) continue daily and down the back of my neck. Right upper arm, site of injection, full ache in muscle, outer and inner side of arm.

Release 8 — day 21, single dose

2021-05-29

Symptoms: Continuous headache 24/7, mainly back side on left. Goes into neck and stretches to the entire left side of my head. Causes ear pain and eye pain on the left. Also somebody aches. Being treated by my PCP, and have a brain MRI scheduled for June 11th. cut off by CDC

Healthcare visit (other): Appt with PCP

Release 11 — days 1–6 daily, dose 2

2022-01-22

Systemic reaction (other): I believe my symptoms are related to my J & J May 2021. Have had continuous symptoms and appts with multiple MD's. Seeing Neurologist at (b)(6) I in (b)(6), Ohio

redacted (b)(6)

2022-01-23

Systemic reaction (other): As I reported yesterday, symptoms ongoing from J & J fromm May 2021. So serious side affects from my Moderna booster.

2022-01-24

Systemic reaction (other): Due to adverse reaction to J & J May 2021

2022-01-25

Systemic reaction (other): All symptoms related to J & J vaccine May 2021

2022-01-26

Systemic reaction (other): All symptoms related to J & J vaccine from May 2021

Healthcare visit (other): In last 8 months, seen by PCP, Pain management, PT, and local Neurologist. Multiple procedures. Now with (b)(6) Neurology (b)(6)

redacted (b)(6)

2022-01-27

Systemic reaction (other): Reported previously

Release 11 — day 7, dose 2

2022-01-28

Systemic reaction (other): Previously reported due to J & J, not Moderna booster

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	Cardiac failure congestive	·	·	✓
HCVO	Medical procedure	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain management	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Discomfort	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling cold	✓	✓	○
SRO	Feeling hot	✓	✓	○
SRO	Feeling of body temperature change	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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