275-28147-68079

4 vaccinations 4 coded responses 23 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 207 / MD
Registered: 2021-01-29

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1666537 (opens in a new window)	high	10 / 11	—	3 of 9 VAERS symptoms	same dose (2)	MD matches	2021-02-26 / 2021-05-26 / 2021-09-02 received 97 days after the last call	case 741370

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

2021-01-21
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Skin lesion — Feeling: Good

Free text: Appearance of erythmatous raised lesion over day 8 post injection at injection site, expanded to about 10 cm in width over two day and gradually going away. Mostly resolved about day 12-day14 after injection. Last4-7 days. Now almost now itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, 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: Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Took Motrin 600mg q6h

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: Good · Site: Pain · Joint pains

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

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

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

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
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
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Eczema, Rash, Rash erythematous, Rash pruritic, Self-medication — 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: Rash- red, itchy, lower leg, bilateral, left worse than right. Started in may. Could be ezcema but nit responding much to topical clobex or Zyrtec/Benadryl/hydroxyzine much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease, Rash, Urticaria — Feeling: Good · 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: Increased rash this year from end of May to July, better now. Hives nicely, but some look like maybe ectopic eczema. Worse than previous year. Also newly insert hives( goes away in 48 hrs) that appeared mid June, and still prsent. Less severe now.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-09-02
Call 2 — Left Voicemail
2021-09-02
Call successful
Completed over the phone
2021-11-09
Dose 3 — Moderna
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-29
Dose 4 — Pfizer-BioNTech
2022-11-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-04-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-26	Moderna
3	2021-11-09	Moderna	No
4	2022-10-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-28	Successful	Completed over the phone
2021-08-27	Successful 2021-09-02	Completed over the phone

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Appearance of erythmatous raised lesion over day 8 post injection at injection site, expanded to about 10 cm in width over two day and gradually going away. Mostly resolved about day 12-day14 after injection. Last4-7 days. Now almost now itching.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Took Motrin 600mg q6h

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Rash- red, itchy, lower leg, bilateral, left worse than right. Started in may. Could be ezcema but nit responding much to topical clobex or Zyrtec/Benadryl/hydroxyzine much

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Increased rash this year from end of May to July, better now. Hives nicely, but some look like maybe ectopic eczema. Worse than previous year. Also newly insert hives( goes away in 48 hrs) that appeared mid June, and still prsent. Less severe now.

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	Eczema	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Skin lesion	✓	✓	✓
SD	Urticaria	✓	·	✓
SRO	Self-medication	✓	✓	✓

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