28S-11575-46134

3 vaccinations 13 coded responses 36 check-ins 13 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 920 / CA
Registered: 2021-03-20

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
2063817 (opens in a new window)	high	10 / 11	1	2 of 7 VAERS symptoms	same dose (3)	CA matches	2021-12-09 / 2022-01-09 / 2022-01-25 received the same day as the last call	case 95866

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had all of these symptoms overnight as well as fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling

Free text: I have some pain and swelling under my arm on the side of the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Still have Swollen lymph nodes under my arm and on my collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Mild swelling of lymph node on my collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Nausea, Diarrhea

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

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

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 35, dose 2
MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My heart is racing more often. · Healthcare visit (other): In person office visit with cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Office visit, Tachycardia — 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

Free text: Symptoms: Tachacardia · Healthcare visit (other): In person visits with cardiologist

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
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)
2021-07-24
Call 1 — Left Voicemail
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Fatigue, Nasopharyngitis, Office visit, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I developed cold symptoms, shortness of breath and severe fatigue. Got covid tested and was negative. · Healthcare visit (other): Dr. Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
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)
2021-10-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-09
Dose 3 — Moderna
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen glands under arm and on collar bone

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness

Free text: Glands under left arm and on collar bone still swollen and very painful

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen painful glands under left arm and on collar bone

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-17
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-12-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Survey response — day 35, dose 3
MedDRA: Fatigue, Headache, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe vertigo, headache, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-22
Survey response — day 42, dose 3
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Call successful
Completed over the phone
2022-03-10
Survey response — 3 months, dose 3
MedDRA: Brain fog, C-reactive protein increased, COVID-19, Fatigue, Heart rate increased, Inflammation, Office visit, Vertebrobasilar artery dissection — 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: Symptoms: I was clinically diagnosed with Covid again about 2 months ago. Severe fatigue, brain fog and vertigo. Inflamation (CRP) went up again, HR raised. · Healthcare visit (other): Testing from Audiologist

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna
3	2021-12-09	Moderna	No

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): I had all of these symptoms overnight as well as fever

2021-03-23

Systemic reaction (other): I have some pain and swelling under my arm on the side of the vaccine

2021-03-24

Systemic reaction (other): Still have Swollen lymph nodes under my arm and on my collar bone

2021-03-25

Systemic reaction (other): Mild swelling of lymph node on my collar bone

Release 8 — day 35, dose 2

2021-05-22

Symptoms: My heart is racing more often.

Healthcare visit (other): In person office visit with cardiologist

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Tachacardia

Healthcare visit (other): In person visits with cardiologist

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: I developed cold symptoms, shortness of breath and severe fatigue. Got covid tested and was negative.

Healthcare visit (other): Dr. Office visit

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Swollen glands under arm and on collar bone

2021-12-12

Systemic reaction (other): Glands under left arm and on collar bone still swollen and very painful

2021-12-13

Systemic reaction (other): Swollen painful glands under left arm and on collar bone

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Severe vertigo, headache, fatigue

Release 11 — day 42, dose 3

2022-01-22

Symptoms: Severe vertigo

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: I was clinically diagnosed with Covid again about 2 months ago. Severe fatigue, brain fog and vertigo. Inflamation (CRP) went up again, HR raised.

Healthcare visit (other): Testing from Audiologist

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	Brain fog	·	·	✓
SD	C-reactive protein increased	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Inflammation	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Palpitations	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tachycardia	·	·	✓
SD	Vertebrobasilar artery dissection	·	·	✓
SD	Vertigo	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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