6VN-20065-30957

5 vaccinations 9 coded responses 32 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 321 / FL
Registered: 2021-01-22

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
1374442 (opens in a new window)	high	8 / 11	4	0 of 3 VAERS symptoms	same dose (1)	FL matches	2021-01-22 / 2021-01-24 / 2021-06-04 received the same day as the last call	case 105867

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Muscle or body aches

Free text: Small bruise at the injection site. It was larger this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: No real change from yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: On my way now at 3:00 pm. Severe hip pain. Dont know if it a reaction.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Emergency care, Pain — Feeling: Poor · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): I am currently on hospital with suspected sciatica. No one thinks it is related to the vaccine. · Healthcare visit (other): X//rays yesterday , CT scan today, still waiting for results from CT scan. Very high blood pressure, medications for that. Doctors say high BP is because of pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Nerve compression, Pain, Pre-existing disease — Feeling: Fair · Site: Redness · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I reported severe pain Monday and Tuesday. After two visits to ER doctors say not vaccine related. Old compression fracture at L1 and pinched nerves. Referred me to neurologist for treatment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains · 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: Still treating pinched nerve. Not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Health check-in — day 7, dose 1
Feeling: Poor · None

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Arthralgia, Hypertension, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Still dealing with hip pain. Wednesday 1/27 pain caused very high blood pressure 220/90 that had me taken to ER. Now under control and back to normal 124/76. Doctors at ER not sure related to vaccine. Primary thinks I maybe had inflammatory reaction. · Healthcare visit (other): Office visit follow up with primary physician.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-29
Call 1 — Left Voicemail
2021-06-04
Call 2 — Left Voicemail
2021-06-04
Call successful
Completed over the phone
2021-06-04
Call successful
Completed over the phone
2021-06-04
Call successful
Completed over the phone
2021-06-04
Call successful
Completed over the phone
2021-06-04
Call successful
Completed over the phone
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Moderna
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Magnetic resonance imaging abnormal, Soft tissue injury — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hip pain. MRI indicates tear in soft tissue. Waiting for orthopedic referral. Not related to vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-04-18
Dose 4 — Moderna
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-13
Dose 5 — Moderna
2022-10-17
Survey response — 6 months, dose 4
MedDRA: Hospitalisation, Myocardial infarction — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Mild heart attack September 4, in hospital September 5-7. There wasn't a question, but my husband and I got the bivalent booster on October 13.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-18
Call successful
Not applicable - Accidental Reporting
2022-10-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-11-18	Moderna	No
4	2022-04-18	Moderna	No
5	2022-10-13	Moderna	No

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 5

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Small bruise at the injection site. It was larger this morning.

2021-01-24

Systemic reaction (other): No real change from yesterday.

2021-01-25

Healthcare visit (other): On my way now at 3:00 pm. Severe hip pain. Dont know if it a reaction.

2021-01-26

Systemic reaction (other): I am currently on hospital with suspected sciatica. No one thinks it is related to the vaccine.

Healthcare visit (other): X//rays yesterday , CT scan today, still waiting for results from CT scan. Very high blood pressure, medications for that. Doctors say high BP is because of pain.

2021-01-27

Systemic reaction (other): I reported severe pain Monday and Tuesday. After two visits to ER doctors say not vaccine related. Old compression fracture at L1 and pinched nerves. Referred me to neurologist for treatment.

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Still treating pinched nerve. Not related to vaccine.

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Still dealing with hip pain. Wednesday 1/27 pain caused very high blood pressure 220/90 that had me taken to ER. Now under control and back to normal 124/76. Doctors at ER not sure related to vaccine. Primary thinks I maybe had inflammatory reaction. cut off by CDC

Healthcare visit (other): Office visit follow up with primary physician.

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Hip pain. MRI indicates tear in soft tissue. Waiting for orthopedic referral. Not related to vaccination.

Release 12 — 6 months, dose 4

2022-10-17

Symptoms: Mild heart attack September 4, in hospital September 5-7. There wasn't a question, but my husband and I got the bivalent booster on October 13.

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	Arthralgia	✓	✓	✓
HCVO	Blood pressure increased	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Magnetic resonance imaging abnormal	·	·	✓
SD	Myocardial infarction	·	·	✓
SD	Soft tissue injury	·	·	✓
SRO	Emergency care	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Nerve compression	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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