2WC-13910-42191

4 vaccinations 8 coded responses 47 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-02-03

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
2564517 (opens in a new window)	high	11 / 11	1	2 of 2 VAERS symptoms	same dose (3)	MA differs	2021-10-28 / 2021-10-29 / 2023-01-20 received the same day as the last call	case 133949

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

2021-02-02
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Just a little headache when I woke, but a little coffee took care of it

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

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I broke out with hives/ urticaria over large parts of my body ; it lasted from 8:30pm on 3/5 through morning of 3/6

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Urticaria — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Hives over my body, several eruptions over night

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Nausea

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Survey response — 3 months, dose 3
MedDRA: Haematoma, Office visit, Palpitations, Synovial cyst — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Hematoma/ and or Baker's Cyst behind right knee. Not certain of diagnosis, rest, ice have dissipated problem. Heart racing upon exercise. · Healthcare visit (other): Primary care visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-01
Call 2 — Left Voicemail
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Angina pectoris, Lung disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Being worked up for ? Of angina or pulmonary issues

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Dose 4 — Moderna
2022-10-30
Health check-in — day 7, dose 4
Feeling: Good · Fever · None

Adult check-in
2022-10-30
Survey response — 12 months, dose 3
MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sporadic afib

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call 3 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-11-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-18
Survey response — 3 months, dose 4
MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-18
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-19
Call 1 — Left Voicemail
2023-01-19
Call 1 — Left Voicemail
2023-01-19
Call 1 — Left Voicemail
2023-01-20
Call successful
Completed over the phone
2023-01-20
Call successful
Does not wish to fill out VAERS report
2023-01-20
Call successful
Does not wish to fill out VAERS report
2023-04-21
Survey response — 6 months, dose 4
MedDRA: Atrial fibrillation, Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-04	Moderna
3	2021-10-28	Moderna	No
4	2022-10-19	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Just a little headache when I woke, but a little coffee took care of it

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): I broke out with hives/ urticaria over large parts of my body ; it lasted from 8:30pm on 3/5 through morning of 3/6

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Hives over my body, several eruptions over night

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: Hematoma/ and or Baker's Cyst behind right knee. Not certain of diagnosis, rest, ice have dissipated problem. Heart racing upon exercise.

Healthcare visit (other): Primary care visit

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Being worked up for ? Of angina or pulmonary issues

Release 12 — 12 months, dose 3

2022-10-30

Symptoms: Sporadic afib

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	Angina pectoris	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Haematoma	·	·	✓
SD	Hypertension	·	·	✓
SD	Lung disorder	·	·	✓
SD	Palpitations	·	·	✓
SD	Synovial cyst	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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