23D-80757-88593

5 vaccinations 6 coded responses 38 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 380 / TN
Registered: 2021-01-08

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

5VY-25239-60941 Child or adolescent in my care · Male · 2022-05-20

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2576401 (opens in a new window)	high	9 / 11	—	1 of 11 VAERS symptoms	same dose (5)	TN matches	2022-11-06 / 2023-01-30 / 2023-02-06 received the same day as the last call	case 168115

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: My arm is a little sore distal to the injestion when palpated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Pain in extremity, Skin tightness — Feeling: Good · Site: Itching

Free text: I experienced tightness across the top my hand on the arm where I got my shot with a little soreness. This went away the next day. I also had diarrhea the morning after my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 2
MedDRA: Alopecia, Hair texture abnormal, Trichorrhexis — Feeling: Good

Free text: My hair texture has changed and is shedding and breaking off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Condition aggravated — Feeling: Fair

Free text: My Geographic tougue is costantly flared up. It never flared up before the injectons. My thinning hair has not grown back yet. Other than that, I've been fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-19
Dose 3 — Pfizer-BioNTech
2022-02-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-20
Dose 4 — Pfizer-BioNTech
2022-05-20
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-06
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 7, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-11-20
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-18
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-05
Survey response — 3 months, dose 5
MedDRA: COVID-19, Office visit — Feeling: Poor · 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, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-02-05
Report sent to call center — 3 months, dose 5
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 · Emergency room or emergency department visit · 1 call case(s)
2023-02-06
Call successful
Completed over the phone
2023-05-07
Survey response — 6 months, dose 5
MedDRA: COVID-19, Memory impairment — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-02	Moderna
3	2021-11-19	Pfizer-BioNTech	No
4	2022-05-20	Pfizer-BioNTech	No
5	2022-11-06	Pfizer-BioNTech	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 2 — day 14, dose 1

2021-01-22

Symptoms: My arm is a little sore distal to the injestion when palpated.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): I experienced tightness across the top my hand on the arm where I got my shot with a little soreness. This went away the next day. I also had diarrhea the morning after my shot.

Release 4 — day 21, dose 2

2021-02-23

Symptoms: My hair texture has changed and is shedding and breaking off.

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: My Geographic tougue is costantly flared up. It never flared up before the injectons. My thinning hair has not grown back yet. Other than that, I've been fine.

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	Alopecia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Hair texture abnormal	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Trichorrhexis	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Skin tightness	✓	✓	✓

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