5EU-31105-90696

2 vaccinations 9 coded responses 28 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 284 / NC
Registered: 2021-01-29

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

3A9-19323-95927 Child or adolescent in my care · Male · 2021-09-11

42Z-14910-81059 Child or adolescent in my care · Female · 2022-01-09

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1531942 (opens in a new window)	high	11 / 11	-3	1 of 2 VAERS symptoms	same dose (2)	NC matches	2021-03-12 / 2021-03-13 / 2021-08-06 received the same day as the last call	case 401607

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Hyperhidrosis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sweating, lack of concentration/focus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Menstruation delayed, Nightmare — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Unusual nightmares, late period cycle (Im not pregnant tubal ligation 2016)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 21, dose 1
MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still having significant joint pain and I have since had to see a Rheumatologist and given medication to help as well has having to have blood work done.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — day 28, dose 1
MedDRA: Arthralgia — 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: Continued joint pain from the first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration, Injection site mass — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Hard lump (good sized) under the skin at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-19
Survey response — day 7, dose 2
MedDRA: Medical counselling — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional

Free text: Phone call to my dr and an increase in plaquenil dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain

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

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Call 1 — Left Voicemail
2021-08-06
Callback requested for
2021-08-06
Call 2 — Left Voicemail
2021-08-06
Callback requested for
2021-08-06
Callback requested for
2021-08-06
Callback requested for
2021-08-06
Call successful
Completed over the phone
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-03-12	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Sweating, lack of concentration/focus

2021-01-31

Systemic reaction (other): Unusual nightmares, late period cycle (Im not pregnant tubal ligation 2016)

Release 4 — day 21, dose 1

2021-02-19

Symptoms: Still having significant joint pain and I have since had to see a Rheumatologist and given medication to help as well has having to have blood work done.

Release 4 — day 28, dose 1

2021-02-26

Symptoms: Continued joint pain from the first dose.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Lower back pain

2021-03-14

Systemic reaction (other): Hard lump (good sized) under the skin at the injection site

Release 5 — day 7, dose 2

2021-03-19

Healthcare visit (other): Phone call to my dr and an increase in plaquenil dose

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Joint pain

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Joint pain

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	Office visit	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Menstruation delayed	✓	✓	✓
SRO	Nightmare	✓	✓	✓

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