6V8-11553-01004

4 vaccinations 10 coded responses 30 check-ins 9 free-text entries 6 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 231 / VA
Registered: 2021-01-28

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
1424054 (opens in a new window)	high	11 / 11	3	1 of 2 VAERS symptoms	same dose (2)	VA matches	2021-02-24 / 2021-02-28 / 2021-06-24 received the same day as the last call	case 472179

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

2021-01-27
Dose 1 — Moderna
2021-01-28
Registered in v-safe
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: Pain, Swelling · None

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Swollen armpit on side where shot was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Swelling, Itching

Free text: Soreness left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Pain and swelling in armpit down to elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Injection site pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain and swelling not improving. Now extends from armpit down to wrist. Very tender to touch. Calling my PCP in the morning of March 2nd 2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Office visit, Phlebitis superficial — Feeling: Fair · Site: Pain, Swelling, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Saw PCP today. The 2nd dose Moderna vaccine was given left arm on 2/24/2021. Today, DX - Lymphadenopathy, with superficial phlebitis from left armpit traveling down humerus and ulnar to just below left thumb. Placed on medrol dose pack and advised to use warm compresses. · Healthcare visit (other): Visit to Primary Care Physician, (b)(6).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — day 7, dose 2
MedDRA: Oedema peripheral, Phlebitis, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling

Free text: Taking Medrol dose pack, on 2nd day. Swelling under arm continues as well as phlebitis in left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Axillary pain, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling in and axillary are continues and is painfull

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Axillary web syndrome, Oedema peripheral, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling left axillary area down left arm slowly getting worse. Have cording of veins. Going back to PCP. · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 42, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued swelling left arm axillary area down arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-21
Call 1 — Left Voicemail
2021-06-24
Call successful
Completed over the phone
2021-06-24
Call successful
Completed over the phone
2021-06-24
Call successful
Completed over the phone
2021-06-24
Call successful
Completed over the phone
2021-06-24
Call successful
Completed over the phone
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Moderna
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-12
Dose 4 — Moderna
Co-administered: Flu:Pneumonia
2022-10-03
Health check-in — day 21, dose 4
Feeling: Good

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

Adult check-in
2022-10-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 4
Feeling: Good

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

Adult check-in
2023-03-13
Survey response — 6 months, dose 4
MedDRA: Cholelithiasis, Hepatobiliary scan abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-13
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-12-02	Moderna	No
4	2022-09-12	Moderna	Flu:Pneumonia

Call center

6 call center cases

5 successful · 1 unsuccessful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Swollen armpit on side where shot was given.

2021-02-27

Systemic reaction (other): Soreness left arm

2021-02-28

Systemic reaction (other): Pain and swelling in armpit down to elbow

2021-03-01

Systemic reaction (other): Pain and swelling not improving. Now extends from armpit down to wrist. Very tender to touch. Calling my PCP in the morning of March 2nd 2021.

2021-03-02

Systemic reaction (other): Saw PCP today. The 2nd dose Moderna vaccine was given left arm on 2/24/2021. Today, DX - Lymphadenopathy, with superficial phlebitis from left armpit traveling down humerus and ulnar to just below left thumb. Placed on medrol dose pack and advised to use warm compresses.

Healthcare visit (other): Visit to Primary Care Physician, (b)(6).

redacted (b)(6)

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Taking Medrol dose pack, on 2nd day. Swelling under arm continues as well as phlebitis in left arm

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Swelling in and axillary are continues and is painfull

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Swelling left axillary area down left arm slowly getting worse. Have cording of veins. Going back to PCP.

Healthcare visit (other): PCP

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Continued swelling left arm axillary area down arm

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	Axillary pain	✓	✓	✓
SD	Axillary web syndrome	✓	✓	✓
SD	Cholelithiasis	·	·	✓
SD	Hepatobiliary scan abnormal	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Phlebitis	✓	✓	✓
SRO	Phlebitis superficial	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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