55H-13289-46081

5 vaccinations 10 coded responses 60 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 972 / OR
Registered: 2021-01-11

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
1574567 (opens in a new window)	high	9 / 11	—	1 of 7 VAERS symptoms	same dose (2)	OR matches	2021-02-07 / 2021-06-07 / 2021-08-16 received the same day as the last call	case 920081

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
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain

Free text: at about 28 hours post injection I was very tired, but it resolved with a night's sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: only discomfort in my deltoid muscle in the area of the injcection when I use that muscle for lifting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — day 7, dose 1
MedDRA: Arthralgia, Musculoskeletal discomfort, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: My arthritic shoulders have been painful without the normal provocation it usually takes to make them sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
2021-02-07
Dose 2 — Moderna
2021-02-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness · Headache

Free text: redness below the injection site was not noticed before last night but it has probably been present at least since 2/9 in the morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 42, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good

Free text: since vaccination my arthritis is more painful and less amenable to relief with NSAIDs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Medical counselling, Sciatic nerve injury — Feeling: Good · 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: My sciatic nerve has been badly inflamed. I dont think it is related to the immunization but I have noticed a generally higher level of inflammatory pain from my Arthurs well since the immunization · Healthcare visit (other): With a neurologist for sciatic netvebpain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
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)
2021-08-08
Survey response — 6 months, dose 2
MedDRA: Neuropathy peripheral — Feeling: Good · 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: Increased neuropathy of feet and lower legs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
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)
2021-08-16
Call successful
Completed over the phone
2021-11-04
Dose 3 — Moderna
2021-11-04
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Diarrhea

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Muscle aches most likely due to amount of yard work done today

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Atrial fibrillation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Atrial fibrillation

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 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 · Emergency room or emergency department visit · 1 call case(s)
2022-02-07
Call 1 — Left Voicemail
2022-02-07
Call successful
Completed over the phone
2022-04-22
Dose 4 — Moderna
2022-04-22
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Muscle or body aches

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-21
Dose 5 — Moderna
2022-10-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 28, dose 5
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle and joint aches

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-21
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-07	Moderna
3	2021-11-04	Moderna	No
4	2022-04-22	Moderna	No
5	2022-10-21	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): at about 28 hours post injection I was very tired, but it resolved with a night's sleep

2021-01-15

Systemic reaction (other): only discomfort in my deltoid muscle in the area of the injcection when I use that muscle for lifting

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): My arthritic shoulders have been painful without the normal provocation it usually takes to make them sore

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): redness below the injection site was not noticed before last night but it has probably been present at least since 2/9 in the morning.

Release 6 — day 42, dose 2

2021-03-21

Symptoms: since vaccination my arthritis is more painful and less amenable to relief with NSAIDs

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: My sciatic nerve has been badly inflamed. I dont think it is related to the immunization but I have noticed a generally higher level of inflammatory pain from my Arthurs well since the immunization

Healthcare visit (other): With a neurologist for sciatic netvebpain

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: Increased neuropathy of feet and lower legs

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Muscle aches most likely due to amount of yard work done today

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Atrial fibrillation

Release 12 — day 28, dose 5

2022-11-18

Symptoms: Muscle and joint aches

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	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Atrial fibrillation	·	·	✓
SD	Myalgia	·	·	✓
SD	Neuropathy peripheral	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sciatic nerve injury	✓	✓	✓
SRO	Arthralgia	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Musculoskeletal discomfort	○	✓	○
SRO	Myalgia	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓

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