3GW-27072-13275

4 vaccinations 24 coded responses 39 check-ins 23 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 270 / NC
Registered: 2021-01-27

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1403443 (opens in a new window)	high	11 / 11	4	1 of 2 VAERS symptoms	same dose (1)	NC matches	2021-01-18 / 2021-01-20 / 2021-06-16 received 135 days after the last call	case 141848

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

2021-01-18
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Survey response — day 7, dose 1
MedDRA: Otorrhoea — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: My ear watered for a couple of hours the day after my shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 14, dose 1
MedDRA: Asthenia, Feeling hot, Impaired healing, Injection site rash, Office visit, Poor quality sleep, Rash, Rash erythematous, Tenderness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: My arm became very hot and tender with a red rash from the shoulder to elbow. I felt puny for due to arm no did not sleep well. · Healthcare visit (other): Checked in with nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Respiration abnormal — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Breathing is different. No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Metamorphopsia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath, visual distortions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Headache, Muscle or body aches

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Survey response — day 21, dose 2
MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My skin is blotched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 28, dose 2
MedDRA: Burning sensation, Dyspnoea, Myalgia, Pain in extremity, Pruritus, Urticaria — 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: Strange urticaria on legs with burning and itching. Never happened to me before vaccine. Still have some shortness of breath. Leg muscles ache v

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 35, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: Skin changes urticaria

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Sensitive skin — 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: Shortness of breath. Skin changes. Reactions to insect bites more severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Bone pain, Dyspnoea, Headache, Injection site pain, Injection site rash, Nervousness, Palpitations — Feeling: Poor · 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

Free text: Rashes , pain at both vaccination sites, deep bone pain in legs, palpitations, shortness of breath with minor exertion, headaches almost everyday, nervousness. Hormonal levels and red cell counts have changed. I had lab tests to rule out other

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Requested Callback
2021-06-16
Call 2 — Left Voicemail
2021-06-16
Callback requested for
12:00PM ET
2021-06-16
Call successful
Completed over the phone
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Asthenia, Headache, Sensitivity to weather change — Feeling: Fair · Be unable to work or attend school

Free text: Low energy. Sensitivity to cold and heat. Headaches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-26
Dose 3 — Pfizer-BioNTech
2021-10-26
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Hormone level abnormal — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Hormonal shifts just like other times

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Mood swings — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Mood swings

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, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Survey response — day 35, dose 3
MedDRA: Myalgia — Feeling: Fair

Free text: More muscle aches.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-02
Dose 4 — Pfizer-BioNTech
2022-05-19
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-31
Survey response — day 28, dose 4
MedDRA: Dizziness, Gastrointestinal disorder, Headache, Heart rate abnormal — Feeling: Fair

Free text: Dizzy headaches. Heart rate changes for short periods Stomach issues

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — day 35, dose 4
MedDRA: Heart rate abnormal, Paraesthesia, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tingling and change in heart rate and vertigo.

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-01
Survey response — 3 months, dose 4
MedDRA: Migraine, Paraesthesia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Migraines and body tingling sensation

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Report sent to call center — 3 months, dose 4
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 · 1 call case(s)
2022-08-02
Call successful
Completed over the phone
2022-10-31
Survey response — 6 months, dose 4
MedDRA: COVID-19, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Covid Rashes

MedDRA releases: 2024-11 · check-in free text available
2023-05-02
Survey response — 12 months, dose 4
MedDRA: Asthenia — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna
3	2021-10-26	Pfizer-BioNTech	No
4	2022-05-02	Pfizer-BioNTech	No

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 7

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): My ear watered for a couple of hours the day after my shot

Release 3 — day 14, dose 1

2021-02-01

Symptoms: My arm became very hot and tender with a red rash from the shoulder to elbow. I felt puny for due to arm no did not sleep well.

Healthcare visit (other): Checked in with nurse