2TW-78176-28673

4 vaccinations 10 coded responses 38 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 673 / KS
Registered: 2021-02-24

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
2248358 (opens in a new window)	high	11 / 11	4	1 of 2 VAERS symptoms	same dose (4)	KS matches	2022-04-06 / 2022-04-12 / 2022-04-22 received the same day as the last call	case 555201

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

2021-02-22
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Slight chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia — Feeling: Good

Free text: Have slept more than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Doing normal activities. Still feeling a little more tired as is my husband who had his shot at the same time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hypersomnia — Feeling: Good · Fatigue or tiredness

Free text: I walked eight miles but slept almost ten hours. I think Im still feeling very slight tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 7, dose 1
MedDRA: Asthenia — Feeling: Good · Fatigue or tiredness

Free text: Still struggling to complete my 8 mile walk after a week. Think my energy may be getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Moderna
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Hypersomnia, Pain in extremity — Feeling: Good

Free text: I was tired and slept 12 hours a night for several days after the shot. I had a mild headache for 1.5 days as well as a sore arm. Have been fine since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-06-23
Survey response — 3 months, dose 2
MedDRA: Office visit, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Change in eyesight. Considering that Im 72 and had two cataract surgeries last year this is most likely not relevant. · Healthcare visit (other): Regular office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-06
Dose 4 — Moderna
2022-04-18
Survey response — day 7, dose 4
MedDRA: Emergency care, Retinal artery occlusion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): I had a BRAO in my left eye on April 12, six days after the fourth shot. That's a Branch Retinol Artery Occlusion. · Healthcare visit (other): Then was sent to ER lab for bloodwork.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Requested Callback
2022-04-20
Survey response — day 14, dose 4
MedDRA: Emergency care, Office visit, Retinal artery occlusion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I had a BRAO in my left eye. Basically a stroke in a branch of the main retinal artery. · Healthcare visit (other): Doctor's Office and then ER for bloodwork

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call successful
Completed over the phone
2022-04-22
Call successful
Completed over the phone
2022-04-23
Call successful
Completed over the phone
2022-04-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-03
Callback requested for
07:00PM ET
2022-05-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-06
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-24	Moderna
3	2021-10-24	Moderna	No
4	2022-04-06	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Slight chest pain

2021-02-26

Systemic reaction (other): Have slept more than usual.

2021-02-27

Systemic reaction (other): Doing normal activities. Still feeling a little more tired as is my husband who had his shot at the same time.

2021-02-28

Systemic reaction (other): I walked eight miles but slept almost ten hours. I think Im still feeling very slight tiredness.

Release 4 — day 7, dose 1

2021-03-01

Systemic reaction (other): Still struggling to complete my 8 mile walk after a week. Think my energy may be getting better.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): I was tired and slept 12 hours a night for several days after the shot. I had a mild headache for 1.5 days as well as a sore arm. Have been fine since.

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: Change in eyesight. Considering that Im 72 and had two cataract surgeries last year this is most likely not relevant.

Healthcare visit (other): Regular office visit

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): No

Release 11 — day 7, dose 4

2022-04-18

Systemic reaction (other): I had a BRAO in my left eye on April 12, six days after the fourth shot. That's a Branch Retinol Artery Occlusion.

Healthcare visit (other): Then was sent to ER lab for bloodwork.

Release 11 — day 14, dose 4

2022-04-20

Symptoms: I had a BRAO in my left eye. Basically a stroke in a branch of the main retinal artery.

Healthcare visit (other): Doctor's Office and then ER for bloodwork

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	Emergency care	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Retinal artery occlusion	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Retinal artery occlusion	·	·	✓

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