6EH-32758-88427

5 vaccinations 30 coded responses 54 check-ins 29 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 482 / MI
Registered: 2021-03-10

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1906235 (opens in a new window)	high	10 / 11	4	6 of 14 VAERS symptoms	same dose (3)	MI matches	2021-10-26 / 2021-10-30 / 2021-11-29 received the same day as the last call	case 1187113

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Nausea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I have chronic pain from RH and tear in my rotator cup

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain

Free text: Pain in my neck, right hand, both legs, knees and feets

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in the legs, neck, knees and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Free text: Burning pain on right side of legs and bottom of both feets

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Burning on side of right leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-21
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Fatigue, Insomnia, Neck pain, Pain in extremity, Restless legs syndrome — Feeling: Fair

Free text: Tired, sleeplessness, weak, shortness of breath, restless leg syndrome pain in legs, arms, hands, neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

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

Free text: Rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 35, dose 2
MedDRA: Arthralgia, Insomnia, Neck pain, Pain in extremity — Feeling: Fair

Free text: Pain under the bottom of my right foot, right side of my right knee, shoulder and neck. Unable to sleep at night. Nagging pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches. Most of the time they wake me up over in the morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-02
Survey response — day 7, dose 3
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Neck and shoulder pain on right side.

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Survey response — day 14, dose 3
MedDRA: Arthralgia, Asthenia, Cough, Decreased appetite, Dizziness, Headache, Medical counselling, Myalgia, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, pain, headache, dizziness, weak, loss of appetite, coughing, joint and muscle pain. I skipped 1 week before I resume my methotrexate on the advice of my Dr.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 21, dose 3
MedDRA: Arthralgia, Dizziness, Gastrooesophageal reflux disease, Headache, Myalgia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, muscle aches, nausea, acid reflux's , joint pain dizziness. But, the same symptoms are also side. Affects of Mextrotrexate. This drug suppress my immune system. I skipped a dose after I took my booster shot. I took a dose 7 days later.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 28, dose 3
MedDRA: Arthralgia, Chest pain, Gastrooesophageal reflux disease, Myalgia, Nausea, Office visit, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Acid reflux's nausea, joint pain, muscle pain, swelling, chest pain · Healthcare visit (other): Plumminary function Dr.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-11-24
Call X — Requested Callback
2021-11-29
Call successful
Completed over the phone
2021-12-02
Survey response — day 35, dose 3
MedDRA: Arthralgia, Chest pain, Gastrooesophageal reflux disease, Neck pain, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder, chest and neck pain. Acid reflux, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Call 1 — Could Not Reach Participant
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Gastrooesophageal reflux disease, Hernia, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Neck pain, knee pain and acid reflux/ outpatient Upper GI Because of acid reflux Discover I had a high hernia · Healthcare visit (other): Upper GI outpatient/ discovered I had a high hernia

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-01-27
Call 2 — Could Not Reach Participant
2022-04-18
Dose 4 — Moderna
2022-04-18
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Lacrimation increased, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Sore. Throat, runny nose, watery eyes

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Cough, Headache, Rhinorrhoea, Sneezing — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Sneezing, caughing, running noses, headache, asthama

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair · Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2022-05-04
Survey response — day 14, dose 4
MedDRA: Arthralgia, Chest pain, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck pain Chest pain and joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — day 21, dose 4
MedDRA: Gastrooesophageal reflux disease, Neck pain, Unevaluable event — Feeling: Fair

Free text: Neck pain, hip and shoulders and acid refluxs

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Dose 5 — Moderna
2022-05-18
Survey response — day 0, dose 5
MedDRA: Neck pain, Office visit — Feeling: Fair · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Neck pain · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 28, dose 4
MedDRA: Arthralgia, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Neck and joint pain · Healthcare visit (other): Dr.'s office

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — day 0, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-18
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-19
Call 1 — Left Voicemail
2022-05-19
Call 3 — Left Voicemail
2022-05-19
Call 1 — Left Voicemail
2022-05-19
Call 1 — Left Voicemail
2022-05-20
Survey response — days 1–6 daily, dose 5
MedDRA: Neck pain, Pruritus — Feeling: Fair · Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site

Free text: Neck pain. Itching

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Survey response — days 1–6 daily, dose 5
MedDRA: Chest pain, Gastrooesophageal reflux disease, Neck pain, Office visit, Osteoporosis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, 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: Systemic reaction (other): Neck pain, ache reflux, osteoporosis chest pain · Healthcare visit (other): Doctors's office specializing in osteoporosis

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Report sent to call center — days 1–6 daily, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-24
Call 1 — Could Not Reach Participant
2022-05-27
Call 2 — Could Not Reach Participant
2022-05-27
Call 2 — Could Not Reach Participant
2022-05-27
Call 2 — Could Not Reach Participant
2022-05-27
Call 2 — Could Not Reach Participant
2022-06-03
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-06-10
Survey response — day 21, dose 5
MedDRA: Abdominal discomfort, Neck pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Neck pain upset stomach

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Survey response — day 28, dose 5
MedDRA: Pruritus, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Iches, swelling

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Survey response — day 35, dose 5
MedDRA: Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinsus infection

MedDRA releases: 2024-11 · check-in free text available
2022-08-17
Survey response — 3 months, dose 5
MedDRA: Dyspnoea, Neck pain, Pruritus, Rash, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Neck pain, Sinus , breathing difficulties rash and iching

MedDRA releases: 2024-11 · check-in free text available
2022-08-17
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-18
Call 3 — Left Voicemail
2022-08-18
Call X — Left Voicemail
2022-08-18
Call 3 — Left Voicemail
2022-08-18
Call 3 — Left Voicemail
2022-08-18
Call 3 — Left Voicemail
2022-08-18
Call 1 — Left Voicemail
2022-08-18
Call successful
Participant prefers to complete VAERS report online
2022-08-18
Call successful
Participant prefers to complete VAERS report online
2022-08-18
Call successful
Participant prefers to complete VAERS report online
2022-08-18
Call successful
Participant prefers to complete VAERS report online
2022-08-18
Call successful
Participant prefers to complete VAERS report online
2022-11-19
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in
2023-05-18
Survey response — 12 months, dose 5
MedDRA: Bursitis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-05-18
Report sent to call center — 12 months, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-05-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-10-26	Moderna	No
4	2022-04-18	Moderna	No
5	2022-05-18	Moderna	No

Call center

7 call center cases

6 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): No

2021-03-16

Systemic reaction (other): I have chronic pain from RH and tear in my rotator cup

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Pain in my neck, right hand, both legs, knees and feets

2021-04-09

Systemic reaction (other): Pain in the legs, neck, knees and feet

2021-04-10

Systemic reaction (other): Burning pain on right side of legs and bottom of both feets

2021-04-13

Systemic reaction (other): Burning on side of right leg

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Tired, sleeplessness, weak, shortness of breath, restless leg syndrome pain in legs, arms, hands, neck.

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Rash

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Pain under the bottom of my right foot, right side of my right knee, shoulder and neck. Unable to sleep at night. Nagging pain.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Headaches. Most of the time they wake me up over in the morning

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Neck and shoulder pain on right side.

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Nausea, pain, headache, dizziness, weak, loss of appetite, coughing, joint and muscle pain. I skipped 1 week before I resume my methotrexate on the advice of my Dr.

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Headaches, muscle aches, nausea, acid reflux's , joint pain dizziness. But, the same symptoms are also side. Affects of Mextrotrexate. This drug suppress my immune system. I skipped a dose after I took my booster shot. I took a dose 7 days later. cut off by CDC

Release 10 — day 28, dose 3

2021-11-23

Symptoms: Acid reflux's nausea, joint pain, muscle pain, swelling, chest pain

Healthcare visit (other): Plumminary function Dr.

Release 10 — day 35, dose 3

2021-12-02

Symptoms: Shoulder, chest and neck pain. Acid reflux, sore throat

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Neck pain, knee pain and acid reflux/ outpatient Upper GI Because of acid reflux Discover I had a high hernia

Healthcare visit (other): Upper GI outpatient/ discovered I had a high hernia

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): Sore. Throat, runny nose, watery eyes

2022-04-20

Systemic reaction (other): Sneezing, caughing, running noses, headache, asthama

2022-04-24

Systemic reaction (other): Coughing

Release 11 — day 14, dose 4

2022-05-04

Symptoms: Neck pain Chest pain and joint pain

Release 11 — day 21, dose 4

2022-05-09

Symptoms: Neck pain, hip and shoulders and acid refluxs

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Neck and joint pain

Healthcare visit (other): Dr.'s office

Release 11 — day 0, dose 5

2022-05-18

Systemic reaction (other): Neck pain

Healthcare visit (other): Dr office

Release 11 — days 1–6 daily, dose 5

2022-05-20

Systemic reaction (other): Neck pain. Itching

2022-05-23

Systemic reaction (other): Neck pain, ache reflux, osteoporosis chest pain

Healthcare visit (other): Doctors's office specializing in osteoporosis

Release 12 — day 21, dose 5

2022-06-10

Symptoms: Neck pain upset stomach

Release 12 — day 28, dose 5

2022-06-17

Symptoms: Iches, swelling

Release 12 — day 35, dose 5

2022-06-22

Symptoms: Sinsus infection

Release 12 — 3 months, dose 5

2022-08-17

Symptoms: Neck pain, Sinus , breathing difficulties rash and iching

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	Hernia	·	·	✓
HCVO	Office visit	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Bursitis	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	✓	✓	✓
SD	Hernia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Rash	✓	✓	✓
SD	Restless legs syndrome	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Swelling	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthma	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Headache	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Osteoporosis	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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