59W-32279-26186

4 vaccinations 16 coded responses 44 check-ins 16 free-text entries 5 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 954 / CA
Registered: 2021-04-02

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2317240 (opens in a new window)	high	9 / 11	7	1 of 5 VAERS symptoms	same dose (4)	CA matches	2022-04-29 / 2022-04-29 / 2022-06-13 received the same day as the last call	case 777427

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

2021-04-01
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Physiotherapy — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Physical Therapy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Abdominal pain

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Bacterial infection, Gastritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have a Bacterial Infection, and Gastritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 21, dose 1
MedDRA: Biliary colic — Feeling: Good

Free text: That of having my Gallbladder hurt off and on!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Moderna
2021-04-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Abdominal pain

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Abdominal pain

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Angina pectoris — Feeling: Fair

Free text: That of my Heart, hurting every once in a while.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Abdominal pain — Feeling: Good

Free text: Some pain, in my Abdomen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Fair

Free text: That of Pain, on the Back of my Head.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Dose 3 — Moderna
2021-10-29
Survey response — day 0, dose 3
MedDRA: Lacrimation increased — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: My Eyes are Watery.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-11-02
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-11-03
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-11-04
Call 2 — Left Voicemail
2021-11-05
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-08
Call 3 — Left Voicemail
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Survey response — day 21, dose 3
MedDRA: Defaecation disorder — Feeling: Poor

Free text: Stool Problems.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 28, dose 3
MedDRA: Diarrhoea — Feeling: Fair

Free text: That of having Diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 42, dose 3
MedDRA: Abdominal pain — Feeling: Good

Free text: That of having Pain in my Abdomen.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Proctalgia — Feeling: Fair

Free text: Pain in my Stool.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Dose 4 — Moderna
2022-04-29
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Itching · Joint pains, Diarrhea, Abdominal pain

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-07
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-13
Survey response — day 14, dose 4
MedDRA: Unevaluable event — Feeling: Fair

Free text: That of having some Chest Problems.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — day 21, dose 4
MedDRA: Headache — Feeling: Fair

Free text: That of some Headache.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — day 28, dose 4
MedDRA: Abnormal faeces, Arthropathy — Feeling: Poor

Free text: That of having problems on my Stool and Shoulders.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — day 42, dose 4
MedDRA: Back disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: That of having Lower Back and Neck Problems.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call successful
Does not wish to fill out VAERS report
2022-06-13
Call successful
Does not wish to fill out VAERS report
2022-06-13
Call successful
Does not wish to fill out VAERS report
2022-06-13
Call successful
Does not wish to fill out VAERS report
2022-06-13
Call successful
Completed over the phone
2022-07-29
Survey response — 3 months, dose 4
MedDRA: Haematochezia — Feeling: Fair

Free text: That of Blood, in the Stool.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-28	Moderna
3	2021-10-29	Moderna	No
4	2022-04-29	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Healthcare visit (other): Physical Therapy.

Release 7 — day 14, dose 1

2021-04-15

Symptoms: I have a Bacterial Infection, and Gastritis.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: That of having my Gallbladder hurt off and on!

Release 8 — day 14, dose 2

2021-05-12

Symptoms: That of my Heart, hurting every once in a while.

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Some pain, in my Abdomen.

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: That of Pain, on the Back of my Head.

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): My Eyes are Watery.

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Stool Problems.

Release 10 — day 28, dose 3

2021-11-26

Symptoms: That of having Diarrhea.

Release 10 — day 42, dose 3

2021-12-10

Symptoms: That of having Pain in my Abdomen.

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Pain in my Stool.

Release 11 — day 14, dose 4

2022-05-13

Symptoms: That of having some Chest Problems.

Release 11 — day 21, dose 4

2022-05-20

Symptoms: That of some Headache.

Release 11 — day 28, dose 4

2022-05-27

Symptoms: That of having problems on my Stool and Shoulders.

Release 12 — day 42, dose 4

2022-06-10

Symptoms: That of having Lower Back and Neck Problems.

Release 12 — 3 months, dose 4

2022-07-29

Symptoms: That of Blood, in the Stool.

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	Physiotherapy	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abnormal faeces	·	·	✓
SD	Angina pectoris	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Back disorder	·	·	✓
SD	Bacterial infection	✓	✓	✓
SD	Biliary colic	✓	✓	✓
SD	Defaecation disorder	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastritis	✓	✓	✓
SD	Haematochezia	·	·	✓
SD	Headache	✓	·	✓
SD	Proctalgia	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Lacrimation increased	·	·	✓

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