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ZDJ-18346-63947

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 3 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
980 / WA
Registered
2021-05-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1737028 (opens in a new window) high 8 / 11 — 0 of 2 VAERS symptoms same dose (2) WA matches 2021-06-08 / 2021-08-01 / 2021-09-27
received the same day as the last call
 case 996075

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

  1. 2021-04-28
    Dose 1 — Moderna
  2. 2021-05-03
    Registered in v-safe
  3. 2021-05-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Immediate post-injection reaction, Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work
    Free text: tingling in hand that got the shot for a minute or so within the 15 min. observation period.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-05-05
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-05-12
    Survey response — day 14, dose 1
    MedDRA: Chest pain, Condition aggravated, Medical counselling, Peripheral coldness, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Sensitivity to cold in the hands, similar to Raynauds syndrome. My hands often have a red/purple hue to the back of the hands. Increased pain in areas where I already have existing joint injuries in back, and knees. Ache in chest · Healthcare visit (other): Spoke with nurse on the phone. Will see the doctor in person next week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-12
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-05-19
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Neuropathy peripheral, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Feeling a little more run down after exercise activities. Continuing to have cold sensitivity in the hands. Possibly some heat sensitivity as well. · Healthcare visit (other): I have an appt. scheduled for tomorrow in person.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-19
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-05-26
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-06-02
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-06-08
    Dose 2 — Moderna
  13. 2021-06-08
    Survey response — day 0, dose 2
    MedDRA: Nasopharyngitis, Pre-existing disease, Pruritus, Rash, Rash pruritic, Raynaud's phenomenon, Temperature intolerance — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Amplification of raynauds (cold sensitivity) in hands from first shot, Itchy rash like symptoms (mild) when exposed to heat for long enough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-06-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Heightened Cold sensitivity continues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-06-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  18. 2021-06-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  19. 2021-06-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-06-15
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-06-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-07
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Pre-existing disease — Feeling: Fair · 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: Possible intensity of symptoms related to disc injury in lower and mid back. Pain increased quickly and even though I have kept the same routine and been previously functional for years prior to vaccine. (Back injury is 5 years old)
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-07
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-10
  29. 2021-09-15
  30. 2021-09-16
  31. 2021-09-27
  32. 2021-09-27
    Call successful
    Completed over the phone
  33. 2021-12-08
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  34. 2022-06-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Moderna
22021-06-08Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-12 Successful Completed over the phone
2021-05-19 Successful Completed over the phone
2021-09-07 Successful
2021-09-27
 Completed over the phone

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-03

Systemic reaction (other): tingling in hand that got the shot for a minute or so within the 15 min. observation period.

Release 8 — day 14, dose 1

2021-05-12

Symptoms: Sensitivity to cold in the hands, similar to Raynauds syndrome. My hands often have a red/purple hue to the back of the hands. Increased pain in areas where I already have existing joint injuries in back, and knees. Ache in chest
Healthcare visit (other): Spoke with nurse on the phone. Will see the doctor in person next week

Release 8 — day 21, dose 1

2021-05-19

Symptoms: Feeling a little more run down after exercise activities. Continuing to have cold sensitivity in the hands. Possibly some heat sensitivity as well.
Healthcare visit (other): I have an appt. scheduled for tomorrow in person.

Release 8 — day 0, dose 2

2021-06-08

Systemic reaction (other): Amplification of raynauds (cold sensitivity) in hands from first shot, Itchy rash like symptoms (mild) when exposed to heat for long enough

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): Heightened Cold sensitivity continues

Release 9 — 3 months, dose 2

2021-09-07

Symptoms: Possible intensity of symptoms related to disc injury in lower and mid back. Pain increased quickly and even though I have kept the same routine and been previously functional for years prior to vaccine. (Back injury is 5 years old)

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDBack pain · · ✓
SDChest pain ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDNeuropathy peripheral ✓ ✓ ✓
SDPeripheral coldness ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease · · ✓
SROPruritus ✓ ✓ ○
SRORash ✓ ✓ ○
SRORash pruritic · · ✓
SRORaynaud's phenomenon · · ✓
SROTemperature intolerance · · ✓

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

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