ZBR-25907-04410

5 vaccinations 18 coded responses 48 check-ins 18 free-text entries 14 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 231 / VA
Registered: 2021-03-02

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
2359607 (opens in a new window)	high	11 / 11	4	5 of 10 VAERS symptoms	same dose (4)	VA matches	2022-04-03 / 2022-05-03 / 2022-07-06 received the same day as the last call	case 661053

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — day 7, dose 1
MedDRA: Swelling — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: New lump in palm of right hand suggestive of early Dupuytrens contracture. First noted today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-23
Survey response — day 21, dose 1
MedDRA: Erythema, Immunisation reaction, Nausea, Pruritus, Tenderness — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Redness recurred in arm of vaccine, itchy, tender, LARGE red area. Present 4 + days, now better 2-3 days. Doctor said was Moderna arm. Started almost 2 weeks after vaccine. Also had nausea for several hours, improved with Meclazine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Dose 2 — Moderna
2021-03-30
Survey response — day 0, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Have chronic joint pain, not vaccine related · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hip and thigh pain, possibly related to gardening.Second nodule in right palm, possibly Dupuytrens.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 42, dose 2
MedDRA: Arthralgia, Back pain, Pain, Pain in extremity — 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: Lower back and hip pain with radiation to thigh.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased balance problems, saw my Internist and she is referring me to an ENT physician. · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-07-03
Call 2 — Left Voicemail
2021-07-03
Callback requested for
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Arthritis, Joint range of motion decreased, Muscular weakness, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening arthritic pain, hands, wrists, hip, shoulders. Severe right shoulder pain, with arm weakness and poor range of motion. Unable to get appointment with Orthopedics, wait is now several weeks.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Dose 3 — Moderna
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Chills, Dyspnoea, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Rest regimen, Tinnitus — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Day after Moderna booster ha chills, fever 101.2, severe body aches, headache, sore throat, tinnitus, fatigue, mild abdominal pain, brief period of shortness of breath. Stayed in bed all day. About 18 hours after booster vaccine, began to feel better

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Illness — Feeling: Good

Free text: Remain much better after brief illness following Moderna booster

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-11-01
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — day 35, dose 3
MedDRA: Pruritus, Swelling, Tenderness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Transient swelling in right side of neck, with itching and mild tenderness, now improved. · Healthcare visit (other): Have appointment tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Call 1 — Requested Callback
2021-12-01
Callback requested for
04:15PM ET
2021-12-02
Call 2 — Left Voicemail
2021-12-07
Survey response — day 42, dose 3
MedDRA: Hypertension, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hypertension, started medication · Healthcare visit (other): Internist's office visit

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Asthenia, Dizziness, Hypertension, Nausea, Office visit — 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: Symptoms: New onset hypertension, have increased dose of amlodipine three times, still high. 3 episodes of brief weakness, lightheadedness, nausea. Once so severe lay on floor several minutes. · Healthcare visit (other): Doctor's office for BP check.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
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)
2022-04-03
Dose 4 — Moderna
2022-04-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-08
Survey response — day 35, dose 4
MedDRA: Back injury — Feeling: Poor · 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: Back injury

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — day 35, dose 4
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)
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Call successful
Does not wish to fill out VAERS report
2022-05-09
Call successful
Does not wish to fill out VAERS report
2022-05-09
Call successful
Does not wish to fill out VAERS report
2022-05-16
Survey response — day 42, dose 4
MedDRA: Back pain, Emergency care, Office visit, Pain in extremity — 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, Emergency room or emergency department visit

Free text: Symptoms: Severe back and leg pain, so severe I called 911 twice. Seeing an Orthopedist, he gave me Cortisone into the sacroiliac joint. Have had two courses of steroid taper, required opiate pain meds for a week. Started spontaneously on May 3, no injury. · Healthcare visit (other): Appointments with Orthopedic pain specialist

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — day 42, dose 4
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)
2022-07-03
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Back pain, Office visit, Pain in extremity — Feeling: Poor · 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: Symptoms: Pain in hip, leg, back, persistent over two months, cause undetermined · Healthcare visit (other): Specialist referral to spine specialist/orthopedic

MedDRA releases: 2024-11 · check-in free text available
2022-07-03
Report sent to call center — 3 months, dose 4
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)
2022-07-05
Call 1 — Requested Callback
2022-07-06
Callback requested for
01:00PM ET
2022-07-06
Call successful
Completed over the phone
2022-07-06
Call successful
Completed over the phone
2022-07-06
Call successful
Completed over the phone
2022-09-07
Dose 5 — Moderna
2022-09-25
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-09-29
Survey response — day 21, dose 5
MedDRA: Arthralgia, Back pain, Office visit, Pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continuing, intermittently worse back and hip pain that radiates down lateral left leg. · Healthcare visit (other): MRI, specialists visits (orthopedic, neurosurgeon

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-09
Survey response — day 28, dose 5
MedDRA: Arthralgia, Back pain, Joint swelling, Muscular weakness, Office visit, Physiotherapy — 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: Symptoms: Increased back and hip pain, more swelling of other joints. Also have some lower body weakness. · Healthcare visit (other): Physical therapy following prior visit with neurosurgeon

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Report sent to call center — day 28, dose 5
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)
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-07
Survey response — 3 months, dose 5
MedDRA: Blood pressure inadequately controlled, Musculoskeletal pain, Office visit, Spinal disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cannot get my BP under control. Is onset in past 2 years. On two medications for BP, starting a third. Unsure of any relationship to vaccine. Have persistent musculoskeletal pain, including lower spine disease onset May 2022, surgery recommended · Healthcare visit (other): primary care & neurosurgeon.

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-08
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-10-26	Moderna	No
4	2022-04-03	Moderna	No
5	2022-09-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Successful 2022-05-09	Participant prefers to complete VAERS report online
2021-03-30	Successful 2022-05-09	Participant prefers to complete VAERS report online
2021-05-11	Successful 2022-05-09	Participant prefers to complete VAERS report online
2021-06-29	Successful 2022-05-09	Participant prefers to complete VAERS report online
2021-11-01	Successful 2022-05-09	Participant prefers to complete VAERS report online
2021-11-30	Successful 2022-05-09	Does not wish to fill out VAERS report
2021-12-07	Successful 2022-05-09	Does not wish to fill out VAERS report
2022-01-25	Successful 2022-05-09	Does not wish to fill out VAERS report
2022-05-08	Successful 2022-07-06	Completed over the phone
2022-05-16	Successful 2022-07-06	Completed over the phone
2022-07-03	Successful 2022-07-06	Completed over the phone
2022-09-29	Successful 2022-09-30	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-09	Successful 2022-10-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-07	Successful 2022-12-08	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): New lump in palm of right hand suggestive of early Dupuytrens contracture. First noted today.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Redness recurred in arm of vaccine, itchy, tender, LARGE red area. Present 4 + days, now better 2-3 days. Doctor said was Moderna arm. Started almost 2 weeks after vaccine. Also had nausea for several hours, improved with Meclazine.

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): Have chronic joint pain, not vaccine related

Healthcare visit (other): Office visit

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Hip and thigh pain, possibly related to gardening.Second nodule in right palm, possibly Dupuytrens.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Lower back and hip pain with radiation to thigh.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Increased balance problems, saw my Internist and she is referring me to an ENT physician.

Healthcare visit (other): Office visit

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Worsening arthritic pain, hands, wrists, hip, shoulders. Severe right shoulder pain, with arm weakness and poor range of motion. Unable to get appointment with Orthopedics, wait is now several weeks.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Day after Moderna booster ha chills, fever 101.2, severe body aches, headache, sore throat, tinnitus, fatigue, mild abdominal pain, brief period of shortness of breath. Stayed in bed all day. About 18 hours after booster vaccine, began to feel better cut off by CDC

2021-10-30

Systemic reaction (other): Remain much better after brief illness following Moderna booster

Release 10 — day 35, dose 3

2021-11-30

Symptoms: Transient swelling in right side of neck, with itching and mild tenderness, now improved.

Healthcare visit (other): Have appointment tomorrow.

Release 10 — day 42, dose 3

2021-12-07

Symptoms: Hypertension, started medication

Healthcare visit (other): Internist's office visit

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: New onset hypertension, have increased dose of amlodipine three times, still high. 3 episodes of brief weakness, lightheadedness, nausea. Once so severe lay on floor several minutes.

Healthcare visit (other): Doctor's office for BP check.

Release 11 — day 35, dose 4

2022-05-08

Symptoms: Back injury

Release 11 — day 42, dose 4

2022-05-16

Symptoms: Severe back and leg pain, so severe I called 911 twice. Seeing an Orthopedist, he gave me Cortisone into the sacroiliac joint. Have had two courses of steroid taper, required opiate pain meds for a week. Started spontaneously on May 3, no injury.

Healthcare visit (other): Appointments with Orthopedic pain specialist

Release 12 — 3 months, dose 4

2022-07-03

Symptoms: Pain in hip, leg, back, persistent over two months, cause undetermined

Healthcare visit (other): Specialist referral to spine specialist/orthopedic

Release 12 — day 21, dose 5

2022-09-29

Symptoms: Continuing, intermittently worse back and hip pain that radiates down lateral left leg.

Healthcare visit (other): MRI, specialists visits (orthopedic, neurosurgeon

Release 12 — day 28, dose 5

2022-10-09

Symptoms: Increased back and hip pain, more swelling of other joints. Also have some lower body weakness.

Healthcare visit (other): Physical therapy following prior visit with neurosurgeon

Release 12 — 3 months, dose 5

2022-12-07

Symptoms: Cannot get my BP under control. Is onset in past 2 years. On two medications for BP, starting a third. Unsure of any relationship to vaccine. Have persistent musculoskeletal pain, including lower spine disease onset May 2022, surgery recommended

Healthcare visit (other): primary care & neurosurgeon.

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	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Asthenia	·	·	✓
SD	Back injury	·	·	✓
SD	Back pain	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Blood pressure inadequately controlled	·	·	✓
SD	Dizziness	·	·	✓
SD	Emergency care	·	·	✓
SD	Erythema	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Joint range of motion decreased	·	·	✓
SD	Joint swelling	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Spinal disorder	·	·	✓
SD	Swelling	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Chills	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Illness	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Rest regimen	·	·	✓
SRO	Swelling	✓	✓	✓
SRO	Tinnitus	·	·	✓

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