3CU-14896-80399

5 vaccinations 14 coded responses 43 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 951 / CA
Registered: 2021-02-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2465790 (opens in a new window)	high	9 / 11	4	1 of 5 VAERS symptoms	same dose (5)	CA matches	2022-09-12 / 2022-09-13 / 2022-09-30 received the same day as the last call	case 1034782

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

2021-02-15
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Free text: Developed a rash under my study watch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Under my study watch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Under my study rash-like a burn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Dizzy lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Itching

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Lightheaded still .... but only when I lay down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good

Free text: A bit of headache which is a little unusual fir me. Not bad ... very minor. Maybe just dehydrated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 42, dose 2
MedDRA: Platelet count decreased, White blood cell count decreased — Feeling: Good

Free text: Low WBC low platelets

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Dose 3 — Moderna
2021-09-13
Survey response — 6 months, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Reaction to my 3rd Covid vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — 3 months, dose 3
MedDRA: Pelvic cyst, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Pelvic cyst Finally starting to feel myself since my last vaccination. · Healthcare visit (other): Still being treated

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-09
Call 2 — Left Voicemail
2021-12-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-14
Survey response — day 7, dose 4
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache

Free text: Arm was sore for several days after vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-22
Survey response — day 21, dose 4
MedDRA: C-reactive protein increased — Feeling: Good

Free text: C reactive protein increased

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Dose 5 — Pfizer-BioNTech
2022-09-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-19
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-26
Survey response — day 14, dose 5
MedDRA: Back pain, Office visit, Physiotherapy — 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: Symptoms: Back pain · Healthcare visit (other): Physical Therapy & Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Report sent to call center — day 14, dose 5
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)
2022-09-27
Call 1 — Left Voicemail
2022-09-30
Call 2 — Left Voicemail
2022-09-30
Callback requested for
04:00PM ET
2022-09-30
Call successful
Completed over the phone
2022-10-03
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna
3	2021-08-31	Moderna	No
4	2022-04-01	Moderna	No
5	2022-09-12	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Developed a rash under my study watch

2021-02-21

Systemic reaction (other): Under my study watch

Release 4 — day 7, dose 1

2021-02-22

Systemic reaction (other): Under my study rash-like a burn

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Dizzy lightheaded

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Lightheaded

2021-03-21

Systemic reaction (other): Lightheaded still .... but only when I lay down

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Lightheaded

Release 7 — day 35, dose 2

2021-04-19

Symptoms: A bit of headache which is a little unusual fir me. Not bad ... very minor. Maybe just dehydrated.

Release 8 — day 42, dose 2

2021-04-26

Symptoms: Low WBC low platelets

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: Reaction to my 3rd Covid vaccine

Release 10 — 3 months, dose 3

2021-11-30

Symptoms: Pelvic cyst Finally starting to feel myself since my last vaccination.

Healthcare visit (other): Still being treated

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): Arm was sore for several days after vaccine.

Release 11 — day 21, dose 4

2022-04-22

Symptoms: C reactive protein increased

Release 12 — day 14, dose 5

2022-09-26

Symptoms: Back pain

Healthcare visit (other): Physical Therapy & Chiropractor

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	·	·	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Back pain	·	·	✓
SD	C-reactive protein increased	·	·	✓
SD	Headache	✓	✓	✓
SD	Pelvic cyst	·	·	✓
SD	Platelet count decreased	✓	✓	✓
SD	White blood cell count decreased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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