YNH-29418-99428

3 vaccinations 4 coded responses 24 check-ins 4 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 600 / IL
Registered: 2021-03-10

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
2488637 (opens in a new window)	high	11 / 11	6	3 of 6 VAERS symptoms	same dose (3)	IL matches	2021-10-22 / 2022-06-14 / 2022-10-25 received 274 days after the last call	case 90074

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-14
Survey response — day 7, dose 2
MedDRA: No adverse event, Unevaluable event — Feeling: Good

Free text: At (b)(6), all is well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Heart rate increased, Nasopharyngitis, Office visit, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Runny nose, slight cold. A couple of episodes of a few hours of increased heart beats. · Healthcare visit (other): In person visit with heart dr and tests

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-01-24
Call successful
Completed over the phone
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Influenza — Feeling: Good · Be unable to do your normal daily activities

Free text: My wife and i had the flu strain A, i believe. We did not have covid but we did get the flu shot in late september znd the first covid moderna booster in late october.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — 12 months, dose 3
MedDRA: COVID-19, Emergency care, Heart rate increased, SARS-CoV-2 test positive — Feeling: Good · 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: Just before had covid in mid june, i had 190 heart rate and went ti the emergency room, tested positive 2 days later. Some thought heart isdue and coming down with covid related...had 3 shots before i caught covid. No shots since.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 12 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 · Emergency room or emergency department visit · 1 call case(s)
2022-10-25
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-10-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-21	Successful 2022-01-24	Completed over the phone
2022-10-24	Successful 2022-10-25	Completed over the phone

Free text

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): At (b)(6), all is well

redacted (b)(6)

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Runny nose, slight cold. A couple of episodes of a few hours of increased heart beats.

Healthcare visit (other): In person visit with heart dr and tests

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: My wife and i had the flu strain A, i believe. We did not have covid but we did get the flu shot in late september znd the first covid moderna booster in late october.

Release 12 — 12 months, dose 3

2022-10-24

Symptoms: Just before had covid in mid june, i had 190 heart rate and went ti the emergency room, tested positive 2 days later. Some thought heart isdue and coming down with covid related...had 3 shots before i caught covid. No shots since.

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	COVID-19	·	·	✓
SD	Emergency care	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	No adverse event	✓	✓	○
SRO	Unevaluable event	·	·	✓

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