5KA-27158-50131

4 vaccinations 20 coded responses 40 check-ins 20 free-text entries 11 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 152 / PA
Registered: 2021-02-11

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
2306976 (opens in a new window)	high	10 / 11	1	2 of 8 VAERS symptoms	same dose (4)	PA matches	2022-05-25 / 2022-05-31 / 2022-06-02 received the same day as the last call	case 750261

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

2021-02-06
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discomfort, Muscle discomfort, Musculoskeletal discomfort — Feeling: Good · Muscle or body aches

Free text: The injection site was sore, but not painful. Muscles and joint discomfort have also dissipated.The soreness is diminished.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: At times, early morning lower legs are itchi

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

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Free text: I may have some delayed reaction to the 2nd dose of covid vaccine. Or, perhaps, I am having some other health issues due to hyperthyroidism therapy treatments which was administered on 19Feb. 2021.

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

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Atrial fibrillation, Hyperthyroidism, Pre-existing disease, Radioactive iodine therapy, Sleep apnoea syndrome — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I have had problems with post hyperthyroidism; ablation of thyroid and a-fib, sleep apnea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
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)
2021-09-05
Survey response — 6 months, dose 2
MedDRA: Bell's palsy, Heart rate decreased, Heart rate irregular, Lyme disease, Lymphoedema, Obstructive sleep apnoea syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low heart beat; bell palsy, obstructive sleep apnea; Lyme disease, lymph edema of right ankle.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-04
Dose 3 — Moderna
2021-10-28
Survey response — day 21, dose 3
MedDRA: Blood pressure increased, Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Higher BP #s-160-170, 21 October,2021; OSA · Healthcare visit (other): Appt @ Dr. Office

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Call X — Could Not Reach Participant
2021-11-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-16
Survey response — day 42, dose 3
MedDRA: Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A little higher BP measured by my PCP who has prescribed an extra hydralazine tablet for a total of 3/ day(25mg/ tablet. · Healthcare visit (other): PCP visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-16
Call X — Could Not Reach Participant
2021-11-20
Call successful
Does not wish to fill out VAERS report
2022-01-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-25
Dose 4 — Moderna
2022-05-25
Survey response — day 0, dose 4
MedDRA: Injection site pain, Office visit — Feeling: Good · Site: Pain

Free text: Very mild Soreness at left arm at injection site. Yesterday, I had a first dose for shingles on my right arm at my regular PCP. Today, my right arm is much more sore than 4th Moderna covid. Also, I was not charging a fee for 4th Moderna covid dose a

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Pain, Unevaluable event — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): At 6:30 a.m., I felt a very sore pain along the length of center of my rib cage. This pain was noticeable, it seem to pull among this location and lasted about two seconds. I was slightly resting on my right side. The pain did not reappear. I did cal · Healthcare visit (other): I will see my PCP tomorrow at 3:00p.m.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-27
Call 1 — Could Not Reach Participant
2022-05-27
Call 1 — Could Not Reach Participant
2022-05-27
Call 1 — Could Not Reach Participant
2022-05-27
Call 1 — Could Not Reach Participant
2022-05-28
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal chest pain, Office visit — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Yes, A very painful 2 second incident occurred at 6:30 a.m., ThusrsdayThe pain occurred along my outside of the right rib cage. · Healthcare visit (other): I went to my PCP.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-29
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — days 1–6 daily, dose 4
MedDRA: Irritability — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: When I am irritated with myself or I feel irritable, My mother used to tell me that my ass is itchy. Today, two decades after the passing of my mother, I don't know, I do not feel, I don't think, I can't discern or decide if my ass is itchy, but I a.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Survey response — days 1–6 daily, dose 4
MedDRA: Malaise, Productive cough, SARS-CoV-2 test positive — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Home self test for covid is positive. PCP notified. · Healthcare visit (other): Strong Covid symptoms occurred last evening. phlegm. I do not feel well.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-01
Survey response — day 7, dose 4
MedDRA: Depressed mood, Feeling of despair, Medical counselling — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Feeling despondent, disappointed, unhappy · Healthcare visit (other): Phone conversation, prescription for Paxlovid, recommended for me to quarantine 7-10 days

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-01
Call 2 — Could Not Reach Participant
2022-06-01
Call 2 — Could Not Reach Participant
2022-06-01
Call 2 — Could Not Reach Participant
2022-06-01
Call 2 — Could Not Reach Participant
2022-06-01
Call 1 — Could Not Reach Participant
2022-06-01
Call 1 — Could Not Reach Participant
2022-06-02
Call 3 — Could Not Reach Participant
2022-06-02
Call 3 — Could Not Reach Participant
2022-06-02
Call 3 — Could Not Reach Participant
2022-06-02
Call 3 — Could Not Reach Participant
2022-06-02
Call 2 — Could Not Reach Participant
2022-06-02
Call 2 — Could Not Reach Participant
2022-06-02
Call 1 — Could Not Reach Participant
2022-06-02
Call successful
Completed over the phone
2022-06-02
Call successful
Completed over the phone
2022-06-02
Call successful
Completed over the phone
2022-06-08
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-15
Survey response — day 21, dose 4
MedDRA: Blood pressure increased, Dizziness, Physical deconditioning — Feeling: Poor · 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: Higher BP, dizzy, out of good physical condition?

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Report sent to call center — day 21, dose 4
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)
2022-06-16
Call 1 — Could Not Reach Participant
2022-06-21
Call 2 — Could Not Reach Participant
2022-06-22
Survey response — day 28, dose 4
MedDRA: Loss of personal independence in daily activities, Medical procedure — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had to have removed possible pre cancer cells on my left cheek. Now, I have to reduce physical activities and must use an antibiotic, cephalexin.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Survey response — day 35, dose 4
MedDRA: Medical procedure — Feeling: Fair · 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: I had to have removed from my left cheek an atypical cell and use antibiotics for 7 days

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-01
Call 3 — Could Not Reach Participant
2022-07-01
Call 3 — Could Not Reach Participant
2022-07-01
Call 2 — Could Not Reach Participant
2022-07-01
Call 3 — Could Not Reach Participant
2022-07-01
Call 1 — Could Not Reach Participant
2022-07-06
Survey response — day 42, dose 4
MedDRA: Exploratory operation, Office visit, Periorbital swelling, Skin operation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dermatologist removed what is described as an atypical cell on my left cheek on 20 June. I still have swollen pocket under left eye. I think that this exploratory hunt for what maybe a precancerous cell that has not shown any sign of becoming worse?

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Call 3 — Could Not Reach Participant
2022-07-07
Call 2 — Could Not Reach Participant
2022-08-25
Survey response — 3 months, dose 4
MedDRA: Atrial fibrillation, Atrial flutter, Dehydration, Exercise tolerance decreased, Hot flush, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hot or heat flashes, dehydration, more notable a-fib/flutter; more frequent resting betw vigorous exercise/activity.. · Healthcare visit (other): PCP appt/ visit; 22 Aug.

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-26
Call X — Could Not Reach Participant
2022-08-26
Call X — Could Not Reach Participant
2022-08-26
Call X — Could Not Reach Participant
2022-08-26
Call X — Could Not Reach Participant
2022-08-26
Call 3 — Could Not Reach Participant
2022-08-26
Call 1 — Could Not Reach Participant
2022-09-02
Call 2 — Could Not Reach Participant
2022-11-23
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Office visit, Physiotherapy, Radiculopathy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have radiculopathy of both right and left hip, and some pain? and am using a PT to help heal and restrengthen gluteus and transverse abdominal · Healthcare visit (other): Drs. office appts.

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-25
Call 1 — Could Not Reach Participant
2022-11-30
Call X — Could Not Reach Participant
2022-11-30
Call X — Could Not Reach Participant
2022-11-30
Call X — Could Not Reach Participant
2022-11-30
Call 3 — Could Not Reach Participant
2022-11-30
Call 2 — Could Not Reach Participant
2023-05-26
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-05	Moderna
3	2021-10-04	Moderna	No
4	2022-05-25	Moderna	No

Call center

11 call center cases

6 successful · 5 unsuccessful

VAERS report filed, before or during a call: 4

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): The injection site was sore, but not painful. Muscles and joint discomfort have also dissipated.The soreness is diminished.

2021-03-08

Systemic reaction (other): At times, early morning lower legs are itchi

2021-03-10

Systemic reaction (other): I may have some delayed reaction to the 2nd dose of covid vaccine. Or, perhaps, I am having some other health issues due to hyperthyroidism therapy treatments which was administered on 19Feb. 2021.

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: I have had problems with post hyperthyroidism; ablation of thyroid and a-fib, sleep apnea

Release 9 — 6 months, dose 2

2021-09-05

Symptoms: Low heart beat; bell palsy, obstructive sleep apnea; Lyme disease, lymph edema of right ankle.

Release 10 — day 21, dose 3

2021-10-28

Symptoms: Higher BP #s-160-170, 21 October,2021; OSA

Healthcare visit (other): Appt @ Dr. Office

Release 10 — day 42, dose 3

2021-11-16

Symptoms: A little higher BP measured by my PCP who has prescribed an extra hydralazine tablet for a total of 3/ day(25mg/ tablet.

Healthcare visit (other): PCP visit

Release 11 — day 0, dose 4

2022-05-25

Systemic reaction (other): Very mild Soreness at left arm at injection site. Yesterday, I had a first dose for shingles on my right arm at my regular PCP. Today, my right arm is much more sore than 4th Moderna covid. Also, I was not charging a fee for 4th Moderna covid dose a cut off by CDC

Release 11 — days 1–6 daily, dose 4

2022-05-26

Systemic reaction (other): At 6:30 a.m., I felt a very sore pain along the length of center of my rib cage. This pain was noticeable, it seem to pull among this location and lasted about two seconds. I was slightly resting on my right side. The pain did not reappear. I did cal cut off by CDC

Healthcare visit (other): I will see my PCP tomorrow at 3:00p.m.

2022-05-28

Systemic reaction (other): Yes, A very painful 2 second incident occurred at 6:30 a.m., ThusrsdayThe pain occurred along my outside of the right rib cage.

Healthcare visit (other): I went to my PCP.

2022-05-29

Systemic reaction (other): No

2022-05-30

Systemic reaction (other): When I am irritated with myself or I feel irritable, My mother used to tell me that my ass is itchy. Today, two decades after the passing of my mother, I don't know, I do not feel, I don't think, I can't discern or decide if my ass is itchy, but I a. cut off by CDC

2022-05-31

Systemic reaction (other): Home self test for covid is positive. PCP notified.

Healthcare visit (other): Strong Covid symptoms occurred last evening. phlegm. I do not feel well.

Release 11 — day 7, dose 4

2022-06-01

Systemic reaction (other): Feeling despondent, disappointed, unhappy

Healthcare visit (other): Phone conversation, prescription for Paxlovid, recommended for me to quarantine 7-10 days

Release 12 — day 21, dose 4

2022-06-15

Symptoms: Higher BP, dizzy, out of good physical condition?

Release 12 — day 28, dose 4

2022-06-22

Symptoms: I had to have removed possible pre cancer cells on my left cheek. Now, I have to reduce physical activities and must use an antibiotic, cephalexin.

Release 12 — day 35, dose 4

2022-06-29

Symptoms: I had to have removed from my left cheek an atypical cell and use antibiotics for 7 days

Release 12 — day 42, dose 4

2022-07-06

Symptoms: Dermatologist removed what is described as an atypical cell on my left cheek on 20 June. I still have swollen pocket under left eye. I think that this exploratory hunt for what maybe a precancerous cell that has not shown any sign of becoming worse? cut off by CDC

Release 12 — 3 months, dose 4

2022-08-25

Symptoms: Hot or heat flashes, dehydration, more notable a-fib/flutter; more frequent resting betw vigorous exercise/activity..

Healthcare visit (other): PCP appt/ visit; 22 Aug.

Release 12 — 6 months, dose 4

2022-11-23

Symptoms: I have radiculopathy of both right and left hip, and some pain? and am using a PT to help heal and restrengthen gluteus and transverse abdominal

Healthcare visit (other): Drs. office appts.

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	Malaise	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Productive cough	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Atrial fibrillation	✓	✓	✓
SD	Atrial flutter	·	·	✓
SD	Bell's palsy	✓	·	✓
SD	Blood pressure increased	·	·	✓
SD	Dehydration	·	·	✓
SD	Dizziness	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Exploratory operation	·	·	✓
SD	Heart rate decreased	✓	·	✓
SD	Heart rate irregular	✓	·	✓
SD	Hot flush	·	·	✓
SD	Hyperthyroidism	✓	✓	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Lyme disease	✓	·	✓
SD	Lymphoedema	✓	·	✓
SD	Medical procedure	·	·	✓
SD	Obstructive sleep apnoea syndrome	✓	·	✓
SD	Office visit	·	·	✓
SD	Periorbital swelling	·	·	✓
SD	Physical deconditioning	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Radiculopathy	·	·	✓
SD	Radioactive iodine therapy	✓	✓	✓
SD	Skin operation	·	·	✓
SD	Sleep apnoea syndrome	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Depressed mood	·	·	✓
SRO	Feeling of despair	·	·	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Irritability	·	·	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Musculoskeletal chest pain	·	·	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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