3WP-33880-84099

5 vaccinations 13 coded responses 25 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 773 / TX
Registered: 2021-01-12

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
1088197 (opens in a new window)	high	11 / 11	6	5 of 6 VAERS symptoms	same dose (1)	TX matches	2020-12-29 / 2021-01-06 / 2021-03-10 received the same day as the last call	case 58864

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

2020-12-29
Dose 1 — Moderna
2021-01-12
Registered in v-safe
2021-01-14
Survey response — day 14, dose 1
MedDRA: Bone contusion, COVID-19, Chills, Confusional state, Cough, Dizziness, Fall, Fatigue, Myalgia, Office visit, Pain, Painful respiration, Pyrexia, SARS-CoV-2 test positive, Somnolence — 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: Symptoms: Tested positive for COVID. Feverish with chills. Cough. Muscles/Body Aches. Fatigue. Dizzy. Confusion. Difficulty staying awake. · Healthcare visit (other): I tripped on the curb and thought I had fractured my ribs. This sent me to urgent care. While there the doctor gave me Prednisone, Amox-Clav, Azithromycin, and Tylenol. No fracture, badly bruised ribs. Gave me instructions on how to care for my lungs, even though it hurts to take deep breaths.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
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)
2021-01-20
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Herpes zoster — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea and shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Dose 2 — Moderna
2021-01-26
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness postural — Feeling: Poor · 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: Dizziness when standing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
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)
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · 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: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
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)
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Survey response — day 28, dose 2
MedDRA: Major depression, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with Major Depressive Disorder on Monday, February 22, 2021. · Healthcare visit (other): In office visit with a Psychiatric PA. Referred me to Counseling/Therapy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
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)
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 42, dose 2
MedDRA: Fatigue, Rash — Feeling: Poor · Be unable to do your normal daily activities

Free text: Rash on my hands and neck. The fatigue is back with a vengeance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Call 1 — Left Voicemail
2021-03-10
Call successful
Completed over the phone
2021-04-29
Survey response — 3 months, dose 2
MedDRA: Fatigue, Office visit, Somnolence — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Excessive daytime sleepiness. Constant fatigue .. go to bed tired wake up tired · Healthcare visit (other): Office visit with my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call successful
Completed over the phone
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-01
Dose 3 — Moderna
2022-01-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-07
Dose 4 — Moderna
2022-09-20
Dose 5 — Moderna
2022-10-08
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-21
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2021-12-01	Moderna	No
4	2022-04-07	Moderna	No
5	2022-09-20	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Tested positive for COVID. Feverish with chills. Cough. Muscles/Body Aches. Fatigue. Dizzy. Confusion. Difficulty staying awake.

Healthcare visit (other): I tripped on the curb and thought I had fractured my ribs. This sent me to urgent care. While there the doctor gave me Prednisone, Amox-Clav, Azithromycin, and Tylenol. No fracture, badly bruised ribs. Gave me instructions on how to care for my lungs, even though it hurts to take deep breaths.

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Diarrhea and shingles

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Dizziness when standing.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): No

2021-01-29

Systemic reaction (other): No

2021-01-30

Systemic reaction (other): No

2021-01-31

Systemic reaction (other): No

2021-02-01

Systemic reaction (other): No

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): No

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Diagnosed with Major Depressive Disorder on Monday, February 22, 2021.

Healthcare visit (other): In office visit with a Psychiatric PA. Referred me to Counseling/Therapy.

Release 5 — day 42, dose 2

2021-03-09

Symptoms: Rash on my hands and neck. The fatigue is back with a vengeance.

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Excessive daytime sleepiness. Constant fatigue .. go to bed tired wake up tired

Healthcare visit (other): Office visit with my PCP

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	Bone contusion	✓	✓	✓
HCVO	Fall	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Painful respiration	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Major depression	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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