5MS-21958-69041

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 981 / WA
Registered: 2021-01-02

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
2087974 (opens in a new window)	high	9 / 11	—	1 of 11 VAERS symptoms	same dose (2)	WA matches	2021-01-30 / 2021-04-22 / 2022-02-04 received 254 days after the last call	case 624162

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Cough, Wheezing — Feeling: Good

Free text: Asthma sx increased (wheezing and cough)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Wheezing — Feeling: Good

Free text: Wheezing still above baseline, but still mild . Have contacted PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Pain, Wheezing — Feeling: Good

Free text: Wheezing, coughing, slightly worse than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Survey response — day 21, dose 1
MedDRA: Asthma, Medical counselling, Wheezing — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had the worst acute asthma attack I have ever experienced yesterday . RR 48 and P 120. Better today but still wheezing. · Healthcare visit (other): I called my pulmonologist to get directions for what to do and asked for a steroid. He has not responded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Dose 2 — Moderna
2021-01-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Wheezing — Feeling: Fair · Fatigue or tiredness

Free text: Wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal cramping x one week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Call 1 — Could Not Reach Participant
2021-05-26
Call 2 — Left Voicemail
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Acute sinusitis, Chronic sinusitis, Dyspnoea, Physiotherapy, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Bilateral elbow tendonitis. Ongoing chronic to acute sinusitis. Increased dyspnea again. · Healthcare visit (other): Outpatient physical therapy.

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-02-04
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Asthma sx increased (wheezing and cough)

2021-01-06

Systemic reaction (other): Wheezing still above baseline, but still mild . Have contacted PCP

2021-01-07

Systemic reaction (other): Wheezing, coughing, slightly worse than yesterday

Release 2 — day 21, dose 1

2021-01-23

Symptoms: Had the worst acute asthma attack I have ever experienced yesterday . RR 48 and P 120. Better today but still wheezing.

Healthcare visit (other): I called my pulmonologist to get directions for what to do and asked for a steroid. He has not responded.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Wheezing

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Abdominal cramping x one week.

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Bilateral elbow tendonitis. Ongoing chronic to acute sinusitis. Increased dyspnea again.

Healthcare visit (other): Outpatient physical therapy.

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	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Acute sinusitis	·	·	✓
SD	Asthma	✓	✓	✓
SD	Chronic sinusitis	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Tendonitis	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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