2KC-13620-37236

5 vaccinations 6 coded responses 37 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 897 / NV
Registered: 2021-04-17

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
1955852 (opens in a new window)	high	11 / 11	4	1 of 2 VAERS symptoms	same dose (3)	NV matches	2021-12-01 / 2021-12-02 / 2021-12-16 received the same day as the last call	case 1220989

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

2021-03-19
Dose 1 — Moderna
2021-04-16
Dose 2 — Moderna
2021-04-17
Registered in v-safe
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Cough, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever of 101.9 Cough I tested Neg for Covid

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Moderna
2021-12-01
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash started day two evening and I did not realize it

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Rash, Urticaria — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash seems to be hives

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-15
Survey response — day 14, dose 3
MedDRA: Condition aggravated, Office visit, Pre-existing disease, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I am continuing to have hives on a daily basis. Started day two after booster. · Healthcare visit (other): Went to my allergist. She thinks my immune system overreacting. I had chronic hives in remission until booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-16
Call successful
Completed over the phone
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-01
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-02
Survey response — days 1–6 daily, dose 4
MedDRA: Visual impairment — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Free text: Not sure is connected, but I have noticed a dark spot in my vision. Could be a coincidence

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-08
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-16
Dose 5 — Moderna
2023-04-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-12-01	Moderna	No
4	2022-04-01	Moderna	No
5	2022-09-16	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Fever

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Fever of 101.9 Cough I tested Neg for Covid

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Rash started day two evening and I did not realize it

2021-12-07

Systemic reaction (other): Rash seems to be hives

Release 10 — day 14, dose 3

2021-12-15

Symptoms: I am continuing to have hives on a daily basis. Started day two after booster.

Healthcare visit (other): Went to my allergist. She thinks my immune system overreacting. I had chronic hives in remission until booster.

Release 11 — days 1–6 daily, dose 4

2022-04-02

Systemic reaction (other): Not sure is connected, but I have noticed a dark spot in my vision. Could be a coincidence

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	Condition aggravated	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Pre-existing disease	·	·	✓
SD	Cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Urticaria	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Urticaria	·	·	✓
SRO	Visual impairment	·	·	✓

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