42D-11782-46507

4 vaccinations 7 coded responses 18 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 112 / NY
Registered: 2021-04-13

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2543531 (opens in a new window)	high	10 / 11	—	6 of 15 VAERS symptoms	same dose (2)	NY matches	2021-05-11 / 2021-05-12 / 2022-12-27 received the same day as the last call	case 1162268

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Moderna
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Abdominal rigidity, Diarrhoea, Flatulence, Nausea, Rectal haemorrhage — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe Abdominal spasms, pain, gas, nausea, rectal bleeding, diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
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)
2021-05-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Moderna
2021-05-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Decreased appetite, Fatigue, Gingival disorder, Memory impairment, Somnolence — 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, Emergency room or emergency department visit

Free text: I sleep too much, involuntarily falling asleep 2-3 times a day, after 8-9 hours at night. Pre-covid, I slept 3-4 hours max and never needed to nap during the day. Also, I'm always tired, very forgetful, skip eating once a week, my gums are shredding.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 3 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

1 call case(s)
2021-08-14
Call 1 — Left Voicemail
2021-08-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-08-27
Call successful
Completed over the phone
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Balance disorder, Dry mouth, Dry skin, Fatigue, Headache, Hot flush, Incontinence, Narcolepsy, Nasal congestion, Panic reaction, Peripheral coldness, Pre-existing disease, Vision blurred, Weight decreased — 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, Emergency room or emergency department visit, Hospitalization

Free text: Narcolepsy Panic Attacks Increased Incontinence Ongoing Weight Loss Extreme Dry Skin Off Balance Headaches Blurry Vision Stuffy Nose Severe Dry Mouth Hot Flashes Persistent Cold Feet Extreme Tiredness

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — 6 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-10
Call 1 — Left Voicemail
2022-01-02
Dose 3 — Moderna
2022-06-24
Dose 4 — Moderna
2022-06-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-07-02
Survey response — day 7, dose 4
MedDRA: Headache, Migraine, Pre-existing disease, Visual impairment — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: My eye sight is b impaired. Over twenty years ago, I used to get occtical migraines. 5 days after my booster shot, I started having them and they are different. Additionally, I've had a headache 3 days in a row. I rarely get headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Survey response — day 14, dose 4
MedDRA: Feeling hot, Musculoskeletal stiffness, Pain, Pain in extremity, Peripheral swelling, Tooth disorder, Tooth fracture — Feeling: Fair · Be unable to do your normal daily activities

Free text: My feet have been swollen over 5 days the lf foot the worst with pain. My rt warm down to my fingers are stiff/hurt especially when I lift my arm. My front tooth cracked. Last booster, there was 0 breakage/erosion until last week. Vax messed up teeth

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Survey response — 6 months, dose 4
MedDRA: Cough, Dizziness, Insomnia, Nasopharyngitis, Sneezing — Feeling: Good · 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: Head cold; sneezing, coughing, dizziness, insomnia.

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Report sent to call center — 6 months, dose 4
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 · 1 call case(s)
2022-12-27
Call successful
Completed over the phone
2022-12-27
Call successful
Does not wish to fill out VAERS report
2023-06-24
Survey response — 12 months, dose 4
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna
3	2022-01-02	Moderna	No
4	2022-06-24	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Severe Abdominal spasms, pain, gas, nausea, rectal bleeding, diarrhea.

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: I sleep too much, involuntarily falling asleep 2-3 times a day, after 8-9 hours at night. Pre-covid, I slept 3-4 hours max and never needed to nap during the day. Also, I'm always tired, very forgetful, skip eating once a week, my gums are shredding. cut off by CDC

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: Narcolepsy Panic Attacks Increased Incontinence Ongoing Weight Loss Extreme Dry Skin Off Balance Headaches Blurry Vision Stuffy Nose Severe Dry Mouth Hot Flashes Persistent Cold Feet Extreme Tiredness

Release 12 — day 7, dose 4

2022-07-02

Systemic reaction (other): My eye sight is b impaired. Over twenty years ago, I used to get occtical migraines. 5 days after my booster shot, I started having them and they are different. Additionally, I've had a headache 3 days in a row. I rarely get headaches.

Release 12 — day 14, dose 4

2022-07-08

Symptoms: My feet have been swollen over 5 days the lf foot the worst with pain. My rt warm down to my fingers are stiff/hurt especially when I lift my arm. My front tooth cracked. Last booster, there was 0 breakage/erosion until last week. Vax messed up teeth cut off by CDC

Release 12 — 6 months, dose 4

2022-12-23

Symptoms: Head cold; sneezing, coughing, dizziness, insomnia.

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
SD	Abdominal pain	✓	✓	✓
SD	Abdominal rigidity	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dry mouth	·	·	✓
SD	Dry skin	·	·	✓
SD	Fatigue	✓	·	✓
SD	Feeling hot	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Gingival disorder	✓	·	✓
SD	Headache	·	·	✓
SD	Hot flush	·	·	✓
SD	Incontinence	·	·	✓
SD	Insomnia	·	·	✓
SD	Memory impairment	✓	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Narcolepsy	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Panic reaction	·	·	✓
SD	Peripheral coldness	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rectal haemorrhage	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Somnolence	✓	·	✓
SD	Tooth disorder	·	·	✓
SD	Tooth fracture	·	·	✓
SD	Vision blurred	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Headache	·	·	✓
SRO	Migraine	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Visual impairment	·	·	✓

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