2JY-19917-20871

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 457 / OH
Registered: 2021-01-22

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

Registered dependents

CG7-30331-37117 Child or adolescent in my care · Male · 2021-08-28

VXK-92419-90564 Child or adolescent in my care · Male · 2021-08-28

3NP-19695-55594 Child or adolescent in my care · Male · 2021-11-09

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1666589 (opens in a new window)	high	11 / 11	3	7 of 14 VAERS symptoms	same dose (2)	OH matches	2021-02-27 / 2021-02-27 / 2021-09-02 received 185 days after the last call	case 273826

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
2021-01-22
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Blurry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Nausea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Asthma, Asthma exercise induced, Erythema, Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site reaction, Pre-existing disease, Pruritus, Urticaria — Feeling: Good

Free text: About a 3inch by 5inch oval welty, red area appeared on my vaccine arm below the injection site, 9 days after vaccine. Very red and itchy. Uncomfortable but tolerable. Today, I had asthma attack on exertion and had o2 sats in low 90s most of the day

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

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: Fair

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Heart rate increased, Muscle tightness, Oropharyngeal pain, Oxygen saturation decreased, Peripheral coldness — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Pulse fluctuations ip to 168 just walking to bayhroom. O2 dips, as low as 88 for about 90 seconds. Very cold feet, cold to touch. Sore throat, some neck & chest tightness at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Heart rate increased, Medical counselling, Pain, Peripheral coldness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Systemic reaction (other): Elevated heart rate into 100s, resting, higher with little exhertion up to 180s. Very cold feet. Throbbing in ears. · Healthcare visit (other): I called dr was told to go to er. Haven't gone yet. Napped first

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Muscle tightness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest neck tightness, elevated heart rate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Electrocardiogram abnormal, Palpitations, Unevaluable event — Feeling: Poor · Site: Pain · Headache, Diarrhea · Be unable to work, 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: Systemic reaction (other): Racing heart. Short of breath. EKG redulted as abnormal "cannot rule out anterior infarct. · Healthcare visit (other): Referral to cardiology made and event monitor ordered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Continued racing heart, sob on exertion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Aphasia, Blood pressure fluctuation, Brain fog, Diarrhoea, Electrocardiogram change, Headache, Heart rate increased, Heavy menstrual bleeding, Nausea, Nephrolithiasis, Palpitations, Renal pain, Urinary tract infection, Vomiting — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Erratic B/P and intermittent elevated heart rate with palpitations. Ekg changes.Headaches daily, brain fog. Forget easy words, use wrong ones at times. Long period, heavy flow.Diarrhea.Kidney stones, UTIs. Kidney pain. Nausea, vomiting.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-09-02
Call successful
Completed over the phone
2021-11-03
Dose 3 — Moderna
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 7, dose 3
Feeling: Fair · Nausea, Vomiting

Adult check-in
2021-12-04
Survey response — day 28, dose 3
MedDRA: Diarrhoea, Headache, Oropharyngeal pain — Feeling: Poor

Free text: Headache, diarrhea, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-27	Moderna
3	2021-11-03	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Blurry eyes

Release 3 — day 14, dose 1

2021-02-04

Symptoms: About a 3inch by 5inch oval welty, red area appeared on my vaccine arm below the injection site, 9 days after vaccine. Very red and itchy. Uncomfortable but tolerable. Today, I had asthma attack on exertion and had o2 sats in low 90s most of the day cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Pulse fluctuations ip to 168 just walking to bayhroom. O2 dips, as low as 88 for about 90 seconds. Very cold feet, cold to touch. Sore throat, some neck & chest tightness at times.

2021-03-01

Systemic reaction (other): Elevated heart rate into 100s, resting, higher with little exhertion up to 180s. Very cold feet. Throbbing in ears.

Healthcare visit (other): I called dr was told to go to er. Haven't gone yet. Napped first

2021-03-02

Systemic reaction (other): Chest neck tightness, elevated heart rate.

2021-03-03

Systemic reaction (other): Racing heart. Short of breath. EKG redulted as abnormal "cannot rule out anterior infarct.

Healthcare visit (other): Referral to cardiology made and event monitor ordered

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Continued racing heart, sob on exertion.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Erratic B/P and intermittent elevated heart rate with palpitations. Ekg changes.Headaches daily, brain fog. Forget easy words, use wrong ones at times. Long period, heavy flow.Diarrhea.Kidney stones, UTIs. Kidney pain. Nausea, vomiting.

Release 10 — day 28, dose 3

2021-12-04

Symptoms: Headache, diarrhea, sore throat

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	Medical counselling	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Aphasia	✓	·	✓
SD	Asthma	✓	✓	✓
SD	Asthma exercise induced	○	✓	○
SD	Blood pressure fluctuation	✓	·	✓
SD	Brain fog	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Electrocardiogram change	✓	·	✓
SD	Erythema	○	✓	○
SD	Headache	✓	·	✓
SD	Heart rate increased	✓	·	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Injection site discomfort	✓	·	✓
SD	Injection site erythema	✓	·	✓
SD	Injection site pruritus	✓	·	✓
SD	Injection site reaction	✓	·	✓
SD	Nausea	✓	·	✓
SD	Nephrolithiasis	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	○	✓	○
SD	Renal pain	✓	·	✓
SD	Urinary tract infection	✓	·	✓
SD	Urticaria	✓	✓	✓
SD	Vomiting	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear discomfort	○	○	○
SRO	Ear pain	✓	✓	✓
SRO	Electrocardiogram abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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