3YN-20577-33607

2 vaccinations 4 coded responses 25 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 671 / KS
Registered: 2021-01-02

Relationship: Self
Race: N/A
Ethnicity: N/A

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2113359 (opens in a new window)	high	10 / 11	1	2 of 8 VAERS symptoms	same dose (1)	KS matches	2021-01-02 / 2021-01-04 / 2022-02-15 received the same day as the last call	case 98159

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Survey response — day 21, dose 1
MedDRA: Headache, Office visit, Pain in extremity, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Slightly off balance and vision is blurry. Had some pain in head that was quickly gone. · Healthcare visit (other): My family physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-02
Call 1 — Left Voicemail
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Dysmenorrhoea, Menstruation delayed — Feeling: Good · Be unable to do your normal daily activities

Free text: I was over 11 days late on my period this month and when I did have it was very painful. Im never late. This is the first time Ive can ever remember being late at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation delayed, Menstruation irregular — Feeling: Good

Free text: Irregular periods. I was 10 days late one month, 6 days late the next, 2 days early the next and last Saturday started my period 14 days early and its extremely heavy. This is very unusual for me.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-10
Survey response — 12 months, dose 2
MedDRA: COVID-19, Fatigue, Impaired work ability, Menstruation irregular, Quarantine, Unevaluable event — Feeling: Good · 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: Symptoms: I got covid September 7. I was pretty sick for two weeks. I tried going back to work after quarantine and fell into wall and enddd up with long haulers until December. My period has been off with horrible symptoms. I still get fatigued · Healthcare visit (other): X-ray of lungs and ecg and echocardiogram

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
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)
2022-02-15
Call successful
Completed over the phone
2022-02-15
Call successful
Completed over the phone
2022-02-15
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-02-10	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-23

Symptoms: Slightly off balance and vision is blurry. Had some pain in head that was quickly gone.

Healthcare visit (other): My family physician

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: I was over 11 days late on my period this month and when I did have it was very painful. Im never late. This is the first time Ive can ever remember being late at all.

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Irregular periods. I was 10 days late one month, 6 days late the next, 2 days early the next and last Saturday started my period 14 days early and its extremely heavy. This is very unusual for me.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: I got covid September 7. I was pretty sick for two weeks. I tried going back to work after quarantine and fell into wall and enddd up with long haulers until December. My period has been off with horrible symptoms. I still get fatigued

Healthcare visit (other): X-ray of lungs and ecg and echocardiogram

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	Unevaluable event	·	·	✓
SD	COVID-19	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Impaired work ability	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Menstruation irregular	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Quarantine	·	·	✓
SD	Vision blurred	✓	✓	✓

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