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6LV-24507-66231

4 vaccinations 24 coded responses 47 check-ins 24 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
934 / CA
Registered
2021-05-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2405983 (opens in a new window) high 10 / 11 3 2 of 7 VAERS symptoms same dose (4) CA matches 2022-05-09 / 2022-07-18 / 2022-08-09
received the same day as the last call
 case 920697

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

  1. 2021-05-19
    Registered in v-safe
  2. 2021-05-19
    Dose 1 — Moderna
  3. 2021-05-19
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site nodule, Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: The swelling at the injection site is not visible. It is under the skin, about the size of a quarter, and feels like a knot. I failed to report it previously. Its getting smaller all the time. Thank you CDC! :-)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Body temperature increased, Nasal congestion, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Poor · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Sore throat - nasal congestion- post nasal drip. My temperature is 98.3. My normal range is 97.7 - 98.3.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Medical counselling, Oropharyngeal pain, Respiratory tract congestion, Self-medication, Upper-airway cough syndrome — Feeling: Poor · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat, post-nasal drip & lots of congestion. Called my md. Taking Tylenol-x & Mucinex dm. Temp = 97.6 rpt 97.6. Viral infection (not COVID-19) circulating in this area. Thank you CDC!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-26
    Survey response — day 7, dose 1
    MedDRA: Viral infection — Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My md is monitoring my other viral infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-02
    Health check-in — day 14, dose 1
    Feeling: Poor
    Adult check-in
  12. 2021-06-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-16
    Dose 2 — Moderna
  14. 2021-06-16
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Self-medication — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Tylenol x for symptoms & temp 98.5 & thank You CDC
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature decreased, Unevaluable event — Feeling: Good · Site: Pain, Redness
    Free text: Temp 98.1 & thank you CDC
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness
    Free text: Temp 98.0 & thank you CDC (-:
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness
    Free text: Temp 97.7 & thank you CDC
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Temp 98.1 & thank you CDC
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Fatigue or tiredness
    Free text: Temp 97.7 & thank you CDC
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-23
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: Temp 98.1 and thank you CDC (-:
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-16
    Dose 3 — Moderna
  30. 2021-12-16
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  34. 2021-12-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-23
    Survey response — day 7, dose 3
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-06
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-09
    Dose 4 — Pfizer-BioNTech
  45. 2022-05-18
    Survey response — day 7, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-05-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-06-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-06-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-06-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-08-08
    Survey response — 3 months, dose 4
    MedDRA: Office visit, Pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Throat congestion, severe body aches. · Healthcare visit (other): COVID-19 swab by Dr (b)(6), my family dr.
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-08-08
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  53. 2022-08-09
  54. 2022-08-09
    Call successful
    Completed over the phone
  55. 2023-05-09
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-19Moderna
22021-06-16Moderna
32021-12-16Moderna No
42022-05-09Pfizer-BioNTech No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-19

Systemic reaction (other): None

Release 8 — days 1–6 daily, dose 1

2021-05-20

Systemic reaction (other): None

2021-05-21

Systemic reaction (other): None

2021-05-22

Systemic reaction (other): None

2021-05-23

Systemic reaction (other): The swelling at the injection site is not visible. It is under the skin, about the size of a quarter, and feels like a knot. I failed to report it previously. Its getting smaller all the time. Thank you CDC! :-)

2021-05-24

Systemic reaction (other): Sore throat - nasal congestion- post nasal drip. My temperature is 98.3. My normal range is 97.7 - 98.3.

2021-05-25

Systemic reaction (other): Sore throat, post-nasal drip & lots of congestion. Called my md. Taking Tylenol-x & Mucinex dm. Temp = 97.6 rpt 97.6. Viral infection (not COVID-19) circulating in this area. Thank you CDC!

Release 8 — day 7, dose 1

2021-05-26

Systemic reaction (other): My md is monitoring my other viral infection.

Release 9 — day 0, dose 2

2021-06-16

Systemic reaction (other): None

Release 9 — days 1–6 daily, dose 2

2021-06-17

Systemic reaction (other): Tylenol x for symptoms & temp 98.5 & thank You CDC

2021-06-18

Systemic reaction (other): Temp 98.1 & thank you CDC

2021-06-19

Systemic reaction (other): Temp 98.0 & thank you CDC (-:

2021-06-20

Systemic reaction (other): Temp 97.7 & thank you CDC

2021-06-21

Systemic reaction (other): Temp 98.1 & thank you CDC

2021-06-22

Systemic reaction (other): Temp 97.7 & thank you CDC

Release 9 — day 7, dose 2

2021-06-23

Systemic reaction (other): Temp 98.1 and thank you CDC (-:

Release 10 — day 0, dose 3

2021-12-16

Systemic reaction (other): None

Release 10 — days 1–6 daily, dose 3

2021-12-17

Systemic reaction (other): None

2021-12-18

Systemic reaction (other): None

2021-12-21

Systemic reaction (other): None

2021-12-22

Systemic reaction (other): None

Release 10 — day 7, dose 3

2021-12-23

Systemic reaction (other): None

Release 11 — day 7, dose 4

2022-05-18

Systemic reaction (other): None

Release 12 — 3 months, dose 4

2022-08-08

Symptoms: Throat congestion, severe body aches.
Healthcare visit (other): COVID-19 swab by Dr (b)(6), my family dr.
redacted (b)(6)

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOSARS-CoV-2 test · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SROBody temperature decreased · · ✓
SROBody temperature increased ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROUpper-airway cough syndrome ✓ ✓ ✓
SROViral infection ✓ ✓ ✓

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

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