3HD-18391-65927

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-01-25

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
1187438 (opens in a new window)	high	11 / 11	3	4 of 8 VAERS symptoms	same dose (2)	WA matches	2021-02-28 / 2021-03-01 / 2021-04-09 received the same day as the last call	case 454586

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

2021-01-23
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: No apetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Depressed mood — Feeling: Fair · Joint pains

Free text: Low mood

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Moderna
2021-02-28
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Hypersomnia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Slept basically all day,no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Pruritus, Swollen tongue — Feeling: Good · Fever · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tongue swelled up when sleeping last night woke up scratching my ha nds no visible rash · Healthcare visit (other): Office visit w primary care doc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — day 7, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Joint pains

Free text: Stiff neck

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

Adult check-in
2021-03-21
Survey response — day 21, dose 2
MedDRA: Middle insomnia, Pruritus — Feeling: Good

Free text: Waking up in middle of night with itching hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 35, dose 2
MedDRA: Hypersensitivity, Thrombosis — Feeling: Good · 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: Superficial clot r legAllergic reaction to unknown source.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Callback requested for
06:10P EST
2021-04-09
Callback requested for
06:10P EST
2021-04-09
Call 1 — Requested Callback
2021-04-09
Callback requested for
06:10P EST
2021-04-09
Call successful
Completed over the phone
2021-04-11
Survey response — day 42, dose 2
MedDRA: Hypersensitivity, Medical counselling, Pharyngeal erythema, Pruritus, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had another allergic reaction red throat, itchy ears, hands and feet, roast welts on trunk. No known cause. Called Dr took antihistamine it resolved.

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

1 call case(s)
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-09
Call 1 — Left Voicemail
2022-02-09
Call successful
Does not wish to fill out VAERS report
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-28	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): No apetite

2021-01-26

Systemic reaction (other): Low mood

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Slept basically all day,no appetite

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Tongue swelled up when sleeping last night woke up scratching my ha nds no visible rash

Healthcare visit (other): Office visit w primary care doc

Release 5 — day 7, dose 2

2021-03-07

Systemic reaction (other): Stiff neck

Release 6 — day 21, dose 2

2021-03-21

Symptoms: Waking up in middle of night with itching hands

Release 6 — day 35, dose 2

2021-04-04

Symptoms: Superficial clot r legAllergic reaction to unknown source.

Release 7 — day 42, dose 2

2021-04-11

Symptoms: Had another allergic reaction red throat, itchy ears, hands and feet, roast welts on trunk. No known cause. Called Dr took antihistamine it resolved.

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	Hypersensitivity	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Pharyngeal erythema	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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