3MY-19575-82975

3 vaccinations 2 coded responses 27 check-ins 2 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 860 / AZ
Registered: 2021-02-09

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
2189908 (opens in a new window)	high	9 / 11	3	1 of 11 VAERS symptoms	same dose (3)	AZ matches	2021-08-25 / 2021-08-25 / 2022-03-21 received the same day as the last call	case 259653

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · Chills

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-09
Health check-in — day 0, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Dose 3 — Moderna
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Dehydration, Hospitalisation, Loss of consciousness, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Had a booster shot of Maderna August 25. Next morning passed out and hospitalized overnight. They did echocardiogram and lung CT. All normal. Indicators for dehydration. No symptoms since. · Healthcare visit (other): See above

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2021-09-15
Call 2 — Left Voicemail
2021-09-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-25
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Not sure but think my breathing has gotten noisier at night and more labored with intense exercise. I already had emphysema. I have not seen a pulmonologist yet. I was considering it before covid and will for sure schedule an appointment now. · Healthcare visit (other): Haven't seen them yet.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-21
Call successful
Completed over the phone
2022-08-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-08-25	Moderna	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 9 — 6 months, dose 2

2021-09-08

Symptoms: Had a booster shot of Maderna August 25. Next morning passed out and hospitalized overnight. They did echocardiogram and lung CT. All normal. Indicators for dehydration. No symptoms since.

Healthcare visit (other): See above

Release 11 — 6 months, dose 3

2022-02-25

Symptoms: Not sure but think my breathing has gotten noisier at night and more labored with intense exercise. I already had emphysema. I have not seen a pulmonologist yet. I was considering it before covid and will for sure schedule an appointment now.

Healthcare visit (other): Haven't seen them yet.

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	Unevaluable event	·	·	✓
SD	Dehydration	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Loss of consciousness	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	·	·	✓

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