2Y6-13859-16182

3 vaccinations 8 coded responses 40 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 432 / OH
Registered: 2021-03-11

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
1909232 (opens in a new window)	high	11 / 11	5	4 of 8 VAERS symptoms	same dose (3)	OH matches	2021-11-02 / 2021-11-12 / 2021-11-30 received the same day as the last call	case 1187128

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Each evening since receiving the vaccine, Ive felt like I have a mild, scratchy sore throat. Its been disruptive to the point where Ive needed to use a cough drop to try to soothe the scratchiness. This is unusual for me, so I thought I should mention it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oral mucosal blistering — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: The past two mornings Ive had blisters (1 today and two yesterday) inside my mouth when I woke up, which has never happened to me before, so its possibly vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate irregular — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Irregular heartbeat (also detected on BP monitor)

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 21, dose 3
MedDRA: Office visit, Pityriasis rosea, Rash, Rash macular — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I saw some red spots on my abdomen a few weeks ago (about a week after my booster) but ignored it. But in the last few days the rash multiplied greatly. My doctor identified a "herald patch" on my back yesterday and diagnosed it as pityriasis rosea.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call 1 — Requested Callback
2021-11-30
Callback requested for
2021-11-30
Call successful
Completed over the phone
2021-12-02
Survey response — day 28, dose 3
MedDRA: Pityriasis rosea, Visual impairment, Vitreous detachment — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've been having problems with my eyes and skin. I was diagnosed on 11/20 with an large vitreous detachment, which is still occurring, and then I was also diagnosed on 11/22 with pityriasis rosea. My vision has continued to be a major problem.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-03
Call successful
Reported to VAERS during previous contact from GDIT
2021-12-07
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Abdominal pain — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Persistent abdominal pains

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
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 · Emergency room or emergency department visit · 1 call case(s)
2022-02-04
Call 1 — Left Voicemail
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Chest pain, Dermatitis contact, Heart rate irregular, Pityriasis rosea, Tachycardia, Vitreous detachment — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: A couple of weeks after my booster, I began having unusual health issues (pityriasis rosea, a major vitreous detachment, and allergic contact dermatitis). About a month later I began experiencing chest pain, tachycardia, and irregular heartbeats.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-06
Call 1 — Left Voicemail
2022-11-04
Survey response — 12 months, dose 3
MedDRA: Autonomic nervous system imbalance, Fatigue, Postural orthostatic tachycardia syndrome, Rash, Vitreous detachment — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I've been diagnosed with POTS, a form of dysautonomia. I've also had ongoing, extreme fatigue. In the weeks and months after my last (third) COVID-19 vaccination, my health began deteriorating. I had a major vitreous detachment, unusual rashes, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-11-07
Call 2 — Left Voicemail
2022-11-07
Call 2 — Left Voicemail
2022-11-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-02	Moderna	No

Call center

5 call center cases

2 successful · 3 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Each evening since receiving the vaccine, Ive felt like I have a mild, scratchy sore throat. Its been disruptive to the point where Ive needed to use a cough drop to try to soothe the scratchiness. This is unusual for me, so I thought I should mention it.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): The past two mornings Ive had blisters (1 today and two yesterday) inside my mouth when I woke up, which has never happened to me before, so its possibly vaccine related.

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Irregular heartbeat (also detected on BP monitor)

Release 10 — day 21, dose 3

2021-11-23

Symptoms: I saw some red spots on my abdomen a few weeks ago (about a week after my booster) but ignored it. But in the last few days the rash multiplied greatly. My doctor identified a "herald patch" on my back yesterday and diagnosed it as pityriasis rosea. cut off by CDC

Release 10 — day 28, dose 3

2021-12-02

Symptoms: I've been having problems with my eyes and skin. I was diagnosed on 11/20 with an large vitreous detachment, which is still occurring, and then I was also diagnosed on 11/22 with pityriasis rosea. My vision has continued to be a major problem.

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Persistent abdominal pains

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: A couple of weeks after my booster, I began having unusual health issues (pityriasis rosea, a major vitreous detachment, and allergic contact dermatitis). About a month later I began experiencing chest pain, tachycardia, and irregular heartbeats.

Release 12 — 12 months, dose 3

2022-11-04

Symptoms: I've been diagnosed with POTS, a form of dysautonomia. I've also had ongoing, extreme fatigue. In the weeks and months after my last (third) COVID-19 vaccination, my health began deteriorating. I had a major vitreous detachment, unusual rashes, etc. cut off by CDC

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	Abdominal pain	·	·	✓
SD	Autonomic nervous system imbalance	·	·	✓
SD	Chest pain	·	·	✓
SD	Dermatitis contact	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Office visit	·	·	✓
SD	Pityriasis rosea	·	·	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Rash	·	·	✓
SD	Rash macular	·	·	✓
SD	Tachycardia	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vitreous detachment	·	·	✓
SRO	Heart rate irregular	·	·	✓
SRO	Oral mucosal blistering	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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