326-33550-26811

4 vaccinations 24 coded responses 57 check-ins 23 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 650 / MO
Registered: 2021-03-07

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
2035591 (opens in a new window)	high	10 / 11	—	1 of 4 VAERS symptoms	same dose (2)	MO matches	2021-12-10 / 2021-12-18 / 2022-01-14 received the same day as the last call	case 25897

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Janssen/Johnson & Johnson
2021-03-07
Survey response — day 0, dose 1
MedDRA: Dizziness, Emergency care, Immunisation reaction — Feeling: Poor · Headache · Be unable to do your normal daily activities

Free text: Yes, severe dizziness- had to call ambulance after receiving vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Alopecia — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: More hair loss today after shower in my comb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Alopecia — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Reported hair loss yesterday?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Alopecia, Appetite disorder, Headache — Feeling: Good

Free text: Headaches improving, hair loss improving, appetite improving, sleep improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — day 7, dose 1
MedDRA: Alopecia — Feeling: Good

Free text: More hair loss after shower today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 14, dose 1
MedDRA: Alopecia, Chills, Headache, Hyperhidrosis, Tremor — Feeling: Poor · Be unable to do your normal daily activities

Free text: Had severe chills last night-almost shaking. Bet wet and clothes with sweat in middle of night.Bad headaches todayStill loosing more hair than normal most days since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 21, single dose
Feeling: Good

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

Adult check-in
2021-04-11
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 42, single dose
MedDRA: Abdominal pain, Headache, Pain — Feeling: Good

Free text: Severe headaches Severe abd pain that nearly took me to ERHeadaches were past 3-4 weeks and ended this weekAbd pain was one night about ten days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-05
Survey response — 6 months, dose 1
MedDRA: Headache — Feeling: Fair · 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: Headaches have changed over time- now on Inderol for migraine prevention - but headaches different since after my vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Requested Callback
2021-09-09
Callback requested for
01:00PM ET
2021-09-09
Call successful
Completed over the phone
2021-12-10
Dose 2 — Janssen/Johnson & Johnson
2021-12-10
Survey response — day 0, dose 2
MedDRA: Chills, Immediate post-injection reaction — Feeling: Good · Chills

Free text: Had a bit of a full body chill twenty minutes after this booster today

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Slightly, not bad

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Neurological symptom — Feeling: Fair · Site: Pain · Chills, Headache

Free text: Slight symptom of headache and only felt chilled one time

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-17
Survey response — day 7, dose 2
MedDRA: Feeling cold — Feeling: Good · Chills

Free text: One slight incidence of a chill

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-07
Survey response — day 28, dose 2
MedDRA: Adverse reaction, Diarrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Did have to take stool samples in for 21 panel analysis ten days ago - no results back yet Had nine days of diarrhea with other symptoms Now having intermittent diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-10
Call 1 — Requested Callback
2022-01-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-14
Callback requested for
01:00PM ET
2022-01-14
Call successful
Completed over the phone
2022-01-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-24
Dose 3 — Moderna
2022-05-24
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-05-26
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Slight light headed was since vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Still slight lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling abnormal — Feeling: Fair · Nausea

Free text: Just felt icky- not myself

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-30
Survey response — days 1–6 daily, dose 3
MedDRA: Headache — Feeling: Good · Headache

Free text: Slight headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-06-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-21
Survey response — day 28, dose 3
MedDRA: Office visit, Surgery, Tongue biting — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bit tongue twice while asleep post tooth and other surgeries under sedation. Saw routine Neuro apt and he wants to do MRI, EMG, etc. he suspected a seizure! I assured him it was not a seizure- thinking I may not do tests- thought you should know

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-23
Survey response — 3 months, dose 3
MedDRA: Malaise, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative, Viral infection — Feeling: Good · 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: Sore throat, malaise three days last week Home Covid tests negative x3 tests three days in a row. Doctor did no Covid, strept, or influenza tests at office- felt it was a virus

MedDRA releases: 2024-11 · check-in free text available
2022-08-23
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-24
Call successful
Not applicable - Accidental Reporting
2022-10-26
Dose 4 — Moderna
2022-10-26
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-27
Survey response — days 1–6 daily, dose 4
MedDRA: Vertigo — Feeling: Poor · Site: Pain, Redness · Be unable to do your normal daily activities

Free text: Had vertigo incident this morning but it responded to two Meclizine

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — days 1–6 daily, dose 4
MedDRA: Feeling hot, Headache, Malaise — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Nausea · Be unable to do your normal daily activities

Free text: It was last night that I felt feverish but no feverToday headachy off and on today but did not feel well last night

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-24
Survey response — day 28, dose 4
MedDRA: Chills — Feeling: Good

Free text: Flu shot Friday- chills about once a day since including yesterday; Wednesday

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Survey response — day 35, dose 4
MedDRA: Chills, Headache — Feeling: Good

Free text: Still chills about once a day post flu vaccine but the cold weather may be contributing! Headachy today but nothing consistent

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-26
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Myalgia, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Janssen/Johnson & Johnson
2	2021-12-10	Janssen/Johnson & Johnson	No
3	2022-05-24	Moderna	No
4	2022-10-26	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-07

Systemic reaction (other): Yes, severe dizziness- had to call ambulance after receiving vaccine

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): More hair loss today after shower in my comb

2021-03-11

Systemic reaction (other): Reported hair loss yesterday?

2021-03-12

Systemic reaction (other): Headaches improving, hair loss improving, appetite improving, sleep improving

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): More hair loss after shower today

Release 6 — day 14, dose 1

2021-03-21

Symptoms: Had severe chills last night-almost shaking. Bet wet and clothes with sweat in middle of night.Bad headaches todayStill loosing more hair than normal most days since vaccine

Release 7 — day 42, single dose

2021-04-19

Symptoms: Severe headaches Severe abd pain that nearly took me to ERHeadaches were past 3-4 weeks and ended this weekAbd pain was one night about ten days ago

Release 9 — 6 months, dose 1

2021-09-05

Symptoms: Headaches have changed over time- now on Inderol for migraine prevention - but headaches different since after my vaccine

Release 10 — day 0, dose 2

2021-12-10

Systemic reaction (other): Had a bit of a full body chill twenty minutes after this booster today

Release 10 — days 1–6 daily, dose 2

2021-12-11

Systemic reaction (other): Slightly, not bad

2021-12-12

Systemic reaction (other): Slight symptom of headache and only felt chilled one time

Release 10 — day 7, dose 2

2021-12-17

Systemic reaction (other): One slight incidence of a chill

Release 10 — day 28, dose 2

2022-01-07

Symptoms: Did have to take stool samples in for 21 panel analysis ten days ago - no results back yet Had nine days of diarrhea with other symptoms Now having intermittent diarrhea

Release 11 — days 1–6 daily, dose 3

2022-05-26

Systemic reaction (other): Slight light headed was since vaccine

2022-05-27

Systemic reaction (other): Still slight lightheadedness

2022-05-28

Systemic reaction (other): Just felt icky- not myself

2022-05-30

Systemic reaction (other): Slight headache

Release 12 — day 28, dose 3

2022-06-21

Symptoms: Bit tongue twice while asleep post tooth and other surgeries under sedation. Saw routine Neuro apt and he wants to do MRI, EMG, etc. he suspected a seizure! I assured him it was not a seizure- thinking I may not do tests- thought you should know cut off by CDC

Release 12 — 3 months, dose 3

2022-08-23

Symptoms: Sore throat, malaise three days last week Home Covid tests negative x3 tests three days in a row. Doctor did no Covid, strept, or influenza tests at office- felt it was a virus

Release 12 — days 1–6 daily, dose 4

2022-10-27

Systemic reaction (other): Had vertigo incident this morning but it responded to two Meclizine

2022-10-28

Systemic reaction (other): It was last night that I felt feverish but no feverToday headachy off and on today but did not feel well last night

Release 12 — day 28, dose 4

2022-11-24

Symptoms: Flu shot Friday- chills about once a day since including yesterday; Wednesday

Release 12 — day 35, dose 4

2022-11-30

Symptoms: Still chills about once a day post flu vaccine but the cold weather may be contributing! Headachy today but nothing consistent

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	Adverse reaction	·	·	✓
SD	Alopecia	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Surgery	·	·	✓
SD	Tongue biting	·	·	✓
SD	Tremor	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Alopecia	✓	✓	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Feeling cold	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Neurological symptom	·	·	✓
SRO	Vertigo	·	·	✓

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