6GZ-29747-48895

4 vaccinations 9 coded responses 46 check-ins 8 free-text entries 2 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 079 / NJ
Registered: 2021-01-26

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
2604028 (opens in a new window)	high	8 / 11	3	0 of 1 VAERS symptoms	same dose (4)	NJ matches	2022-09-24 / 2022-10-01 / 2023-03-27 received the same day as the last call	case 398389

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: unsettled stomach, not painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: symptoms reported occurred mostly during evening/night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Somnolence — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: one day of extreme fatigue, sleepiness, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Haematochezia — 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: Upset stomach. Diarrhea. Bloody stool.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Back Pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Neck pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Call 1 — Left Voicemail
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Brain fog, Fatigue, Influenza virus test negative, Malaise, Memory impairment, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Brain fog. Forgetfulness. Fatigue. Upper Respiratory Infection. Note: child received positive covid test (PCR) but I have tested negative 3 times for covid and flu with PCR tests. No flu, no covid, still sick.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Dose 4 — Moderna
2022-10-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-25
Survey response — 6 months, dose 4
MedDRA: Aphasia, Brain fog, Condition aggravated, Impaired work ability, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-25
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-27
Call successful
Does not wish to fill out VAERS report
2023-03-27
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-10-27	Moderna	No
4	2022-09-24	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): unsettled stomach, not painful

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): symptoms reported occurred mostly during evening/night

Release 6 — day 28, dose 2

2021-03-23

Symptoms: one day of extreme fatigue, sleepiness, headache

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Upset stomach. Diarrhea. Bloody stool.

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Back pain

2021-10-30

Systemic reaction (other): Back Pain

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Neck pain

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Brain fog. Forgetfulness. Fatigue. Upper Respiratory Infection. Note: child received positive covid test (PCR) but I have tested negative 3 times for covid and flu with PCR tests. No flu, no covid, still sick.

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	Office visit	·	·	✓
SD	Abdominal discomfort	✓	·	✓
SD	Aphasia	·	·	✓
SD	Brain fog	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Haematochezia	✓	·	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Malaise	·	·	✓
SD	Memory impairment	·	·	✓
SD	Neck pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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