2FU-17498-81839

4 vaccinations 16 coded responses 31 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 967 / HI
Registered: 2021-04-24

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
2483122 (opens in a new window)	low	9 / 11	8	1 of 5 VAERS symptoms	same dose (4)	TX differs	2022-04-19 / 2022-10-05 / 2022-10-19 received 189 days before the last call	case 550469

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

2021-03-27
Dose 1 — Moderna
2021-04-24
Registered in v-safe
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Redness, Swelling

Free text: Previous tendinitis worse but not sure if related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Applies only to right side tendinitis, so Im not sure if its related to the shot. Tendinitis started before the shot but has gotten worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Redness, Swelling

Free text: Joint pain in other (right) arm previous to shot better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Redness, Swelling

Free text: Wrist pain on the other (right) arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: Opposite (right) thumb & wrist still hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 7, dose 2
MedDRA: Feeling of body temperature change, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: After using DoTerra Deep Blue (icy hot) on right thumb & forearm began feeling icy hot sensation spread slowly all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — day 14, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Now both forearms hurt. Right thumb and wrist still hurt (opposite side of injection site). I have not dared to use pain cream since the reaction last week Actually it was not an all body skin reaction but a nerve reaction because no redness, rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 2
MedDRA: Breast pain — Feeling: Fair

Free text: Not related to shot. Right side tendinitis has spread to breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 2
MedDRA: Dry skin, Erythema, Paraesthesia — Feeling: Good

Free text: Tiny red pricks on shins and a little in my upper arms. I think its from using Amlactin cream which is too thick That was helpful months ago for my dry skin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Put on metoprolol

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Tremor — Feeling: Good

Free text: Minor, sporadic hand tremors increased. Hereditary so Doubt that it's related to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Dose 3 — Moderna
2022-01-20
Call 1 — Left Voicemail
2022-04-19
Dose 4 — Moderna
2022-04-19
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site rash, Injection site scab — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Rash (2x2.5") appeared before but I mistook it for site. Site scab 2" away.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Rash pruritic — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Itchy over rash

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-04-26
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness · None

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

Adult check-in
2022-05-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Survey response — day 35, dose 4
MedDRA: Glycosylated haemoglobin increased, Vulvovaginal pruritus — Feeling: Good

Free text: Vaginal itch likely from high A1C

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-18
Survey response — 6 months, dose 4
MedDRA: Emergency care, Headache, Hypoaesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sudden pain lower right in back of head for a minute, then small circle of numbness on right side face. ERcleared

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-10-19
Call 3 — Left Voicemail
2022-10-19
Call 2 — Left Voicemail
2023-04-19
Survey response — 12 months, dose 4
MedDRA: Bell's palsy, Fall, Oral pain, Skin laceration, Suture insertion, Tinnitus, Wound treatment — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-19
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-20
Call 2 — Left Voicemail
2023-04-20
Call 1 — Left Voicemail
2023-04-20
Call 1 — Left Voicemail
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-26
Call successful
Completed over the phone
2023-04-26
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna
3	2021-10-27	Moderna	No
4	2022-04-19	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Previous tendinitis worse but not sure if related

2021-04-27

Systemic reaction (other): Applies only to right side tendinitis, so Im not sure if its related to the shot. Tendinitis started before the shot but has gotten worse.

2021-04-28

Systemic reaction (other): Joint pain in other (right) arm previous to shot better

2021-04-29

Systemic reaction (other): Wrist pain on the other (right) arm

2021-04-30

Systemic reaction (other): Opposite (right) thumb & wrist still hurts

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): After using DoTerra Deep Blue (icy hot) on right thumb & forearm began feeling icy hot sensation spread slowly all over body

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Now both forearms hurt. Right thumb and wrist still hurt (opposite side of injection site). I have not dared to use pain cream since the reaction last week Actually it was not an all body skin reaction but a nerve reaction because no redness, rash. cut off by CDC

Release 8 — day 21, dose 2

2021-05-15

Symptoms: Not related to shot. Right side tendinitis has spread to breast.

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Tiny red pricks on shins and a little in my upper arms. I think its from using Amlactin cream which is too thick That was helpful months ago for my dry skin.

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Put on metoprolol

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Minor, sporadic hand tremors increased. Hereditary so Doubt that it's related to the vaccine.

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): Rash (2x2.5") appeared before but I mistook it for site. Site scab 2" away.

2022-04-24

Systemic reaction (other): Itchy over rash

Release 11 — day 35, dose 4

2022-05-24

Symptoms: Vaginal itch likely from high A1C

Release 12 — 6 months, dose 4

2022-10-18

Symptoms: Sudden pain lower right in back of head for a minute, then small circle of numbness on right side face. ERcleared

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	Wound treatment	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Bell's palsy	·	·	✓
SD	Breast pain	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fall	·	·	✓
SD	Glycosylated haemoglobin increased	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Oral pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Skin laceration	·	·	✓
SD	Suture insertion	·	·	✓
SD	Tinnitus	·	·	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	✓	·	✓
SD	Vulvovaginal pruritus	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Injection site rash	·	·	✓
SRO	Injection site scab	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash pruritic	·	·	✓
SRO	Self-medication	✓	✓	✓

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