5CA-16001-19609

4 vaccinations 9 coded responses 44 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 018 / MA
Registered: 2021-01-27

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
2264598 (opens in a new window)	low	9 / 11	9	2 of 25 VAERS symptoms	same dose (3)	MA matches	2021-11-03 / 2022-04-22 / 2022-05-05 received the same day as the last call	case 638869

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — day 14, dose 2
MedDRA: Cough — Feeling: Good

Free text: Dry cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 21, dose 2
MedDRA: Pruritus — Feeling: Fair

Free text: Subcutaneous itching. Arms, legs, shoulders, back, the itching is deep and cannot be satisfied by scratching the skin. It has been occurring daily since my last check in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 28, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Still have moderate itching in my arms. Not as severe as before, but still there. The itching is not on the surface.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Temperature intolerance — Feeling: Good

Free text: Sensitivity to hot and cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair

Free text: Chest congestion a dry cough, no fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Dose 3 — Moderna
Co-administered: Flu
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Temperature intolerance — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Extreme sensitivity to cold.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Reaction to previous exposure to any vaccine, Vaccination site reaction — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Delayed vaccine reaction. Same as with my first two doses.

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-04
Survey response — 6 months, dose 3
MedDRA: COVID-19 — 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: COVID positive

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — 6 months, dose 3
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)
2022-05-05
Call 1 — Requested Callback
2022-05-05
Call successful
Completed over the phone
2022-05-10
Callback requested for
10:45AM ET
2022-10-22
Dose 4 — Moderna
Co-administered: Flu
2022-10-22
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-22
Survey response — 6 months, dose 4
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-11-03	Moderna	Flu
4	2022-10-22	Moderna	Flu

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Dry cough.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Subcutaneous itching. Arms, legs, shoulders, back, the itching is deep and cannot be satisfied by scratching the skin. It has been occurring daily since my last check in.

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Still have moderate itching in my arms. Not as severe as before, but still there. The itching is not on the surface.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Sensitivity to hot and cold

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Chest congestion a dry cough, no fever.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Extreme sensitivity to cold.

2021-11-09

Systemic reaction (other): Delayed vaccine reaction. Same as with my first two doses.

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: COVID positive

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
SD	Asthenia	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Temperature intolerance	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Temperature intolerance	·	·	✓
SRO	Vaccination site reaction	·	·	✓

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