ZQF-84297-24456

4 vaccinations 7 coded responses 32 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 902 / CA
Registered: 2021-03-18

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
1505845 (opens in a new window)	high	10 / 11	1	1 of 4 VAERS symptoms	same dose (2)	CA matches	2021-04-15 / 2021-04-17 / 2021-07-27 received 647 days before the last call	case 543584

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 35, dose 2
MedDRA: Blister — Feeling: Good

Free text: Since the first dose, Ive developed blisters on both my hands that are suspect of a side effect. Im currently on antibiotics and am being referred to dermatology.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 42, dose 2
MedDRA: Blister — Feeling: Good

Free text: Ive developed blisters on my hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Allergy to vaccine, Blister, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Allergic reaction to the vaccine, skin eruptions and blisters, its horrible.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-27
Call successful
Completed over the phone
2021-11-11
Dose 3 — Moderna
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Abscess drainage, Abscess limb, Blister, Medical counselling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I developed a new blister on the bottom of my foot. It absessed and had to be surgically removed. I'm currently on home health care for the wound.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-08
Survey response — day 35, dose 4
MedDRA: Blister — Feeling: Good

Free text: I'm developing a new blister on my left hand.

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-03
Survey response — 3 months, dose 4
MedDRA: Blister, Emergency care, Foot operation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Still dealing with the blister on my foot that I had to have emergency surgery on.

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-04
Survey response — 12 months, dose 4
MedDRA: Blister, Foot operation, Rash — 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 · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-05-04
Report sent to call center — 12 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-05-05
Call successful
Reported to VAERS during previous contact from GDIT
2023-05-05
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna
3	2021-11-11	Moderna	No
4	2022-05-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-16	Successful 2021-07-27	Completed over the phone
2022-04-18	Successful 2023-05-05	Reported to VAERS during previous contact from GDIT
2023-05-04	Successful 2023-05-05	Participant prefers to complete VAERS report online

Free text

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Since the first dose, Ive developed blisters on both my hands that are suspect of a side effect. Im currently on antibiotics and am being referred to dermatology.

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Ive developed blisters on my hands

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Allergic reaction to the vaccine, skin eruptions and blisters, its horrible.

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: I developed a new blister on the bottom of my foot. It absessed and had to be surgically removed. I'm currently on home health care for the wound.

Release 11 — day 35, dose 4

2022-06-08

Symptoms: I'm developing a new blister on my left hand.

Release 12 — 3 months, dose 4

2022-08-03

Symptoms: Still dealing with the blister on my foot that I had to have emergency surgery on.

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	Abscess drainage	·	·	✓
SD	Abscess limb	·	·	✓
SD	Allergy to vaccine	✓	·	✓
SD	Blister	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Foot operation	·	·	✓
SD	Medical counselling	·	·	✓
SD	Rash	✓	·	✓

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