2JE-16142-50695

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 324 / FL
Registered: 2021-07-03

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1659325 (opens in a new window)	high	10 / 11	—	5 of 13 VAERS symptoms	same dose (2)	FL matches	2021-07-22 / 2021-08-01 / 2021-08-31 received 7 days after the last call	case 948616

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

2021-02-18
Dose 1 — Moderna
2021-07-03
Registered in v-safe
2021-07-22
Dose 2 — Moderna
2021-07-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-07-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-07-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-07-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — day 21, dose 2
MedDRA: Blood cholesterol increased, Blood pressure increased, Chest pain, Dyspnoea, Headache, Neck pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I've been having spikes in my blood pressure. Pains in my chest, neck and head, all on the left side. Shortness of breath. My cholesterol numbers went from 142 to 212 since my vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Survey response — day 28, dose 2
MedDRA: Back pain, Blood pressure increased, Chest pain, Heart rate increased, Insomnia, Office visit, Palpitations, Vaccine positive rechallenge — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Having spikes in my blood pressure. Never had issues before the 1st dose and now again with the 2nd dose. Also rapid heart beat. Pain in chest and back. Cant sleep because of heart palpitations. · Healthcare visit (other): My regular ARNP. Running series of test.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-08-24
Call 1 — Left Voicemail
2021-08-26
Survey response — day 35, dose 2
MedDRA: Chest pain, Dyspnoea, Eye movement disorder, Fatigue, Headache, Heart rate increased, Palpitations, Peripheral swelling, Sleep disorder, Swelling, Tinnitus — 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, Emergency room or emergency department visit

Free text: Heart palpapitations, swelling and pain in chest. Ringing ears. Swelling legs. Left eye shutters, headache on left side of head. Have to sit up in chair to sleep. Cant lie down w/o rapid heartbeat. Out of breath, extreme fatigue.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — day 35, 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 successful
Completed over the phone
2021-09-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-21
Survey response — 3 months, dose 2
MedDRA: Atrial fibrillation, Chest pain, Heart rate increased, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My symptoms are not new. Chest pains, rapid heart beat. I have been seeing a Cardiologist since 1st of September. Diagnosis. Atrial Fiblulation. I know this is from the vaccine. · Healthcare visit (other): In person visit to (b)(6) Institute

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-25
Call 1 — Requested Callback
2021-10-26
Callback requested for
04:30PM ET
2021-10-26
Call successful
Other
2022-01-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-07-22
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna	No
2	2021-07-22	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 9 — day 21, dose 2

2021-08-12

Symptoms: I've been having spikes in my blood pressure. Pains in my chest, neck and head, all on the left side. Shortness of breath. My cholesterol numbers went from 142 to 212 since my vaccine.

Release 9 — day 28, dose 2

2021-08-19

Symptoms: Having spikes in my blood pressure. Never had issues before the 1st dose and now again with the 2nd dose. Also rapid heart beat. Pain in chest and back. Cant sleep because of heart palpitations.

Healthcare visit (other): My regular ARNP. Running series of test.

Release 9 — day 35, dose 2

2021-08-26

Symptoms: Heart palpapitations, swelling and pain in chest. Ringing ears. Swelling legs. Left eye shutters, headache on left side of head. Have to sit up in chair to sleep. Cant lie down w/o rapid heartbeat. Out of breath, extreme fatigue.

Release 10 — 3 months, dose 2

2021-10-21

Symptoms: My symptoms are not new. Chest pains, rapid heart beat. I have been seeing a Cardiologist since 1st of September. Diagnosis. Atrial Fiblulation. I know this is from the vaccine.

Healthcare visit (other): In person visit to (b)(6) Institute

redacted (b)(6)

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	Atrial fibrillation	·	·	✓
SD	Back pain	✓	·	✓
SD	Blood cholesterol increased	✓	·	✓
SD	Blood pressure increased	✓	·	✓
SD	Chest pain	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Eye movement disorder	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Heart rate increased	✓	·	✓
SD	Insomnia	✓	·	✓
SD	Neck pain	✓	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Sleep disorder	✓	·	✓
SD	Swelling	✓	·	✓
SD	Tinnitus	✓	·	✓
SD	Vaccine positive rechallenge	✓	·	✓

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