2JX-10453-85257

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 335 / FL
Registered: 2021-03-06

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
1761514 (opens in a new window)	high	9 / 11	3	2 of 14 VAERS symptoms	same dose (2)	FL matches	2021-04-02 / 2021-04-02 / 2021-10-05 received the same day as the last call	case 1051514

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Survey response — day 0, dose 1
MedDRA: Injection site hypoaesthesia, Injection site paraesthesia — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Tingling and numbness in arm that received the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Head cold feelings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Headache, Nasopharyngitis — Feeling: Fair

Free text: Head cold and ongoing headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 21, dose 2
MedDRA: Headache, Influenza — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Full flu systems and constant headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Agitation, Brain fog, Dry throat, Nausea, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nauseousness, mentally foggy, quickly agitated, constant dry throat, drippy sinus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Chest X-ray abnormal, Malaise, Quarantine, Respiratory disorder, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, 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: I tested positive for covid and was QT from August 31-September 12. I am sick with respiratory issues now and taking an antibiotic. I had chest X-rays today with signs of pneumonia.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call successful
Completed over the phone
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Headache, Hypersensitivity, Hypogeusia, Parosmia, Pre-existing disease, Visual impairment — Feeling: Fair · 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 vision issues, allergies to the point that I'm having to take daily medications, dulled sense of taste, headaches, and phantom smells

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-02	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): Tingling and numbness in arm that received the shot

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Head cold feelings

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Head cold and ongoing headache

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Full flu systems and constant headache

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Nauseousness, mentally foggy, quickly agitated, constant dry throat, drippy sinus

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: I tested positive for covid and was QT from August 31-September 12. I am sick with respiratory issues now and taking an antibiotic. I had chest X-rays today with signs of pneumonia.

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: Increased vision issues, allergies to the point that I'm having to take daily medications, dulled sense of taste, headaches, and phantom smells

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	Agitation	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest X-ray abnormal	·	·	✓
SD	Dry throat	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Hypogeusia	·	·	✓
SD	Influenza	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Quarantine	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Injection site hypoaesthesia	✓	✓	✓
SRO	Injection site paraesthesia	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓

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