B4F-72061-23035

4 vaccinations 5 coded responses 46 check-ins 4 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 211 / MD
Registered: 2021-03-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

3HA-31482-99827 Child or adolescent in my care · Female · 2022-06-28

9F2-21833-61354 Child or adolescent in my care · Female · 2022-06-28

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2604884 (opens in a new window)	high	10 / 11	—	3 of 7 VAERS symptoms	same dose (4)	MD matches	2022-09-23 / 2023-01-01 / 2023-03-28 received the same day as the last call	case 392111

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Janssen/Johnson & Johnson
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Sore where I got the shot but wouldn't call it pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good

Free text: Shot muscle sore but not painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-08
Dose 2 — Moderna
2021-11-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discomfort — Feeling: Good · Site: Pain

Free text: I wouldn't necessarily call the soreness in my arm pain, but it's definitely sore at the shot site.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-17
Dose 3 — Moderna
2022-05-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-17
Survey response — 3 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good

Free text: Coughing, sore throat, and runny nose. No fever. Mild symptoms. Lasted about 7 days. Rapid covid test negative.

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Dose 4 — Moderna
Co-administered: Flu
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-24
Survey response — 6 months, dose 4
MedDRA: Asthma, COVID-19, Fatigue, Pain, Pyrexia — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-24
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-28
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Janssen/Johnson & Johnson
2	2021-11-08	Moderna	No
3	2022-04-17	Moderna	No
4	2022-09-23	Moderna	Flu

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 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Sore where I got the shot but wouldn't call it pain.

2021-03-08

Systemic reaction (other): Shot muscle sore but not painful

Release 10 — days 1–6 daily, dose 2

2021-11-09

Systemic reaction (other): I wouldn't necessarily call the soreness in my arm pain, but it's definitely sore at the shot site.

Release 12 — 3 months, dose 3

2022-07-17

Symptoms: Coughing, sore throat, and runny nose. No fever. Mild symptoms. Lasted about 7 days. Rapid covid test negative.

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	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Injection site discomfort	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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