39H-28227-19668

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 113 / NY
Registered: 2021-08-29

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1726492 (opens in a new window)	high	10 / 11	—	7 of 18 VAERS symptoms	same dose (1)	NY matches	2021-08-28 / 2021-09-17 / 2021-09-23 received the same day as the last call	case 1018390

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

2021-08-28
Dose 1 — Moderna
2021-08-29
Registered in v-safe
2021-08-29
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Lacrimation increased, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, coughing, runny nose, watery eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-08-31
Survey response — days 1–6 daily, dose 1
MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Covid arm

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-09-04
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-09-11
Survey response — day 14, dose 1
MedDRA: Arthralgia, Cough, Injection site mass, Joint stiffness, Rhinorrhoea — Feeling: Fair

Free text: Injection site lump, coughing, runny nose, joint pain/stiffness

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Survey response — day 21, dose 1
MedDRA: Arthralgia, Nausea, Torticollis — Feeling: Poor · 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: Joint pains, torticollis, nausea,

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call 1 — Requested Callback
2021-09-23
Callback requested for
2021-09-23
Call successful
Completed over the phone
2021-09-25
Dose 2 — Moderna
2021-09-25
Survey response — day 0, dose 2
MedDRA: Hypersensitivity, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Allergic reaction again, worse than 1st dose and was taken in by the staff

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Have not slept in 32 hours. Too awake and have tried sleeping pills

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-09-28
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Middle insomnia, Night sweats — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Still unable to sleep but can sleep forshort periods of time, though i wake up sweating.

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Light headed when standing too long

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — day 14, dose 2
MedDRA: Dyskinesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unable to open mouth all the way

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-10-23
Survey response — day 28, dose 2
MedDRA: Office visit, Trismus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had a locked jaw · Healthcare visit (other): Went to a chiro and an acupucturist

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Call 1 — Could Not Reach Participant
2021-10-29
Call 2 — Could Not Reach Participant
2021-10-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-08
Survey response — day 42, dose 2
MedDRA: Fatigue, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: Periods have been awful since getting vaccinated. Also have been constantly exhausted more than usual

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-31
Survey response — 6 months, dose 2
MedDRA: COVID-19 pneumonia — 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 · Emergency room or emergency department visit

Free text: Got covid with pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-04-04
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-28	Moderna	No
2	2021-09-25	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-29

Systemic reaction (other): Sore throat, coughing, runny nose, watery eyes

2021-08-31

Systemic reaction (other): Covid arm

Release 9 — day 14, dose 1

2021-09-11

Symptoms: Injection site lump, coughing, runny nose, joint pain/stiffness

Release 9 — day 21, dose 1

2021-09-18

Symptoms: Joint pains, torticollis, nausea,

Release 9 — day 0, dose 2

2021-09-25

Systemic reaction (other): Allergic reaction again, worse than 1st dose and was taken in by the staff

Release 9 — days 1–6 daily, dose 2

2021-09-26

Systemic reaction (other): Have not slept in 32 hours. Too awake and have tried sleeping pills

2021-09-28

Systemic reaction (other): Still unable to sleep but can sleep forshort periods of time, though i wake up sweating.

Release 9 — day 7, dose 2

2021-10-02

Systemic reaction (other): Light headed when standing too long

Release 10 — day 14, dose 2

2021-10-09

Symptoms: Unable to open mouth all the way

Release 10 — day 28, dose 2

2021-10-23

Symptoms: Had a locked jaw

Healthcare visit (other): Went to a chiro and an acupucturist

Release 10 — day 42, dose 2

2021-11-08

Symptoms: Periods have been awful since getting vaccinated. Also have been constantly exhausted more than usual

Release 11 — 6 months, dose 2

2022-03-31

Symptoms: Got covid with pneumonia

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	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19 pneumonia	·	·	✓
SD	Dyskinesia	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site mass	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Nausea	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Torticollis	·	·	✓
SD	Trismus	·	·	✓
SRO	Cough	✓	·	✓
SRO	Dizziness	·	·	✓
SRO	Hypersensitivity	·	·	✓
SRO	Immunisation reaction	✓	·	✓
SRO	Insomnia	·	·	✓
SRO	Lacrimation increased	✓	·	✓
SRO	Middle insomnia	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Oropharyngeal pain	✓	·	✓
SRO	Rhinorrhoea	✓	·	✓
SRO	Self-medication	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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