6W3-97238-67153

3 vaccinations 14 coded responses 29 check-ins 14 free-text entries 3 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 956 / CA
Registered: 2021-04-01

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
1385845 (opens in a new window)	high	10 / 11	—	3 of 9 VAERS symptoms	same dose (2)	CA matches	2021-04-14 / 2021-04-15 / 2021-06-09 received the same day as the last call	case 547590

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

2021-03-17
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Survey response — day 14, dose 1
MedDRA: Asthenia, Body temperature decreased, Pneumonia, Product dose omission issue — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Energy drain was too severe; more then the pneumonia that caused my temperature to drop a degree and a half. I'm fine now; but I found it necessary to cancel the second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 14, dose 1
Be unable to work · 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 21, dose 1
MedDRA: Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Got the shakes really bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Moderna
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Free text: racing heart; surprised it took so long to show tbh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased — Feeling: Good · Site: Pain, Redness

Free text: Still can't lift arm over shoulder :(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Sleep disorder — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Got maderna arm and it robbed my sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: Spot rash on leg flared up? Vaccine or worm venom? Who knows.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 42, dose 2
MedDRA: Mental disorder — Feeling: Good

Free text: Mental state is getting worse. I can't stand the news of boosters nor even the news showing images of vaccinations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Call 1 — Left Voicemail
2021-06-08
Call 1 — Left Voicemail
2021-06-09
Call successful
Does not wish to fill out VAERS report
2021-06-09
Call successful
Completed over the phone
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-12
Dose 3 — Moderna
2022-07-13
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pulse Oximeter reported 77 last night with BPM of 79

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-07-15
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Fair · Site: Pain · Joint pains

Free text: Shakes

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Am I just dumb these last two days or did I really take some damage. Time will tell.

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Survey response — days 1–6 daily, dose 3
MedDRA: Oxygen saturation decreased — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pulse oximeter keeps dropping into the 80s

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-19
Survey response — day 7, dose 3
MedDRA: Oxygen saturation decreased — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Still drawing the occasional 89 on pulseoximeter. Doesn't seem to mean anything anymore

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-08-02
Survey response — day 21, dose 3
MedDRA: Injection site irritation, Loss of personal independence in daily activities, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activities

Free text: Was unable to do any yardwork at all due to both arms becoming irritated at injection sites. The booster retriggered the original site in the other arm.

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-10-11
Survey response — 3 months, dose 3
MedDRA: Fatigue, Injection site reaction, Stress — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: General fatigue and stress nonsense, cause unknown. Also, the booster injection site bothers me from time to time.

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-12
Call successful
Participant prefers to complete VAERS report online
2023-01-10
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2022-07-12	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Energy drain was too severe; more then the pneumonia that caused my temperature to drop a degree and a half. I'm fine now; but I found it necessary to cancel the second dose.

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Got the shakes really bad

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): racing heart; surprised it took so long to show tbh

2021-04-17

Systemic reaction (other): Still can't lift arm over shoulder :(

2021-04-19

Systemic reaction (other): Got maderna arm and it robbed my sleep

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Spot rash on leg flared up? Vaccine or worm venom? Who knows.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Mental state is getting worse. I can't stand the news of boosters nor even the news showing images of vaccinations.

Release 12 — days 1–6 daily, dose 3

2022-07-13

Systemic reaction (other): Pulse Oximeter reported 77 last night with BPM of 79

2022-07-15

Systemic reaction (other): Shakes

2022-07-16

Systemic reaction (other): Am I just dumb these last two days or did I really take some damage. Time will tell.

2022-07-17

Systemic reaction (other): Pulse oximeter keeps dropping into the 80s

Release 12 — day 7, dose 3

2022-07-19

Systemic reaction (other): Still drawing the occasional 89 on pulseoximeter. Doesn't seem to mean anything anymore

Release 12 — day 21, dose 3

2022-08-02

Symptoms: Was unable to do any yardwork at all due to both arms becoming irritated at injection sites. The booster retriggered the original site in the other arm.

Release 12 — 3 months, dose 3

2022-10-11

Symptoms: General fatigue and stress nonsense, cause unknown. Also, the booster injection site bothers me from time to time.

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
SD	Asthenia	✓	✓	✓
SD	Body temperature decreased	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Injection site irritation	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Mental disorder	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Product dose omission issue	○	✓	○
SD	Rash	✓	✓	✓
SD	Stress	·	·	✓
SD	Tremor	✓	✓	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Oxygen saturation decreased	·	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Tremor	·	·	✓
SRO	Unevaluable event	·	·	✓

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