25X-25217-17094

5 vaccinations 15 coded responses 44 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 856 / AZ
Registered: 2021-01-22

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
2570622 (opens in a new window)	high	10 / 11	3	2 of 5 VAERS symptoms	same dose (5)	AZ matches	2023-01-13 / 2022-10-20 / 2023-01-30 received 28 days before the last call	case 253900

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: I suspect the vaccine might be causing my diabetes blood sugar to be higher as happens when I am ill.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 7, dose 1
MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My diabetes checksglucose readings were way too high for 4 days after the shot, between 200 and 400. Finally I have had more normal, for me, readings the last 24 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cant stay awake to do anything!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation, Dizziness, Nausea — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still slightly disoriented, queasy, and dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Abdominal pain

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Flatulence, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach pain, nausea, and terrible gas for at least 8 hours yesterday, for no apparent reason

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Call 2 — Left Voicemail
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-24
Dose 4 — Moderna
2022-05-24
Survey response — day 0, dose 4
MedDRA: Fatigue — Feeling: Good · Site: Pain

Free text: I always felt exhausted the day after I received the shot so wasn't looking forward to it. I will see how I feel tomorrow. I got the shot about 7 hours ago.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Headache, Nasal congestion, Vision blurred — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I didn't get to answer yesterday's questionnaire Too tired and had a headache (this was the day after. Today, I am feeling more myself but have a stuffy nose all day and blurry vision

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — days 1–6 daily, dose 4
MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Site: Pain

Free text: Yesterday's stuffed up head (like a cold) is almost gone.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No, I think I am through the worst part!

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: Couldn't submit yesterday's checkmalfunction with website

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-22
Survey response — 6 months, dose 4
MedDRA: Rash — Feeling: Good · Be unable to do your normal daily activities

Free text: Symptoms of COVID including a rash on torso, which I still have a month later

MedDRA releases: 2024-11 · check-in free text available
2023-01-13
Dose 5 — Moderna
2023-01-21
Survey response — day 7, dose 5
MedDRA: COVID-19, Office visit, Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-21
Report sent to call center — day 7, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-24
Call 1 — Could Not Reach Participant
2023-01-24
Call 1 — Could Not Reach Participant
2023-01-27
Survey response — day 14, dose 5
MedDRA: COVID-19, Insomnia, Pruritus, Rash, Rash pruritic, Sleep disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-27
Report sent to call center — day 14, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-30
Call successful
Not applicable - Accidental Reporting
2023-01-30
Call successful
Completed over the phone
2023-01-30
Call successful
Completed over the phone
2023-02-02
Call 2 — Requested Callback
2023-02-02
Call 1 — Left Voicemail
2023-02-05
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-02-06
Call 3 — Left Voicemail
2023-02-06
Call 2 — Left Voicemail
2023-02-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-02-17
Survey response — day 35, dose 5
MedDRA: COVID-19, Office visit, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-17
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-20
Call 1 — Left Voicemail
2023-02-24
Survey response — day 42, dose 5
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-24
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-27
Call successful
Reported to VAERS during previous contact from GDIT
2023-02-27
Call successful
Reported to VAERS during previous contact from GDIT
2023-04-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-26	Moderna
3	2021-11-03	Moderna	No
4	2022-05-24	Moderna	No
5	2023-01-13	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 4

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): I suspect the vaccine might be causing my diabetes blood sugar to be higher as happens when I am ill.

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): My diabetes checksglucose readings were way too high for 4 days after the shot, between 200 and 400. Finally I have had more normal, for me, readings the last 24 hours.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Cant stay awake to do anything!

2021-03-01

Systemic reaction (other): Still slightly disoriented, queasy, and dizzy

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Stomach pain, nausea, and terrible gas for at least 8 hours yesterday, for no apparent reason

Release 11 — day 0, dose 4

2022-05-24

Systemic reaction (other): I always felt exhausted the day after I received the shot so wasn't looking forward to it. I will see how I feel tomorrow. I got the shot about 7 hours ago.

Release 11 — days 1–6 daily, dose 4

2022-05-26

Systemic reaction (other): I didn't get to answer yesterday's questionnaire Too tired and had a headache (this was the day after. Today, I am feeling more myself but have a stuffy nose all day and blurry vision

2022-05-27

Systemic reaction (other): Yesterday's stuffed up head (like a cold) is almost gone.

2022-05-28

Systemic reaction (other): No, I think I am through the worst part!

2022-05-30

Systemic reaction (other): Couldn't submit yesterday's checkmalfunction with website

Release 12 — 6 months, dose 4

2022-11-22

Symptoms: Symptoms of COVID including a rash on torso, which I still have a month later

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	Abdominal pain upper	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Sleep disorder	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	COVID-19	·	·	✓
SRO	Diabetes mellitus	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Vision blurred	·	·	✓

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