438-59114-30456

4 vaccinations 8 coded responses 33 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 222 / VA
Registered: 2021-03-15

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
2286988 (opens in a new window)	high	10 / 11	4	3 of 7 VAERS symptoms	same dose (4)	VA matches	2022-05-02 / 2022-05-16 / 2022-05-20 received the same day as the last call	case 708155

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 14, dose 1
MedDRA: Muscle tightness — Feeling: Good

Free text: Tightness around upper arm including vaccine site

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

Adult check-in
2021-04-12
Survey response — day 28, dose 1
MedDRA: Medical counselling, Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Rash/hives over abdomen and upper arm · Healthcare visit (other): Also have to see dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Dose 2 — Moderna
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Developed a rash/hives about a week after first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Continuation of rash reported yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2021-12-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Survey response — 3 months, dose 3
MedDRA: Blood iron decreased, Medical counselling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Extremely low iron levels, possibly due to a slow bleed. My cardiologist has ordered tests to investigate. · Healthcare visit (other): In office medical visits and test

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-08
Call successful
Not applicable - Accidental Reporting
2022-02-08
Call successful
Not applicable - Accidental Reporting
2022-05-02
Dose 4 — Moderna
2022-05-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 14, dose 4
MedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing, Unevaluable event — 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: Runny nose, congestion, sneezing · Healthcare visit (other): Appointment today for Covid test

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-20
Call successful
Completed over the phone
2022-05-23
Survey response — day 21, dose 4
MedDRA: SARS-CoV-2 test positive — 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: Had a positives Covid test on 5/19

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Report sent to call center — day 21, dose 4
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)
2022-05-24
Call successful
Reported to VAERS during previous contact from GDIT
2022-05-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-02
Survey response — 12 months, dose 4
MedDRA: Bronchiolitis, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-02
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-03
Call 1 — Could Not Reach Participant
2023-05-08
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-13	Moderna
3	2021-11-08	Moderna	No
4	2022-05-02	Moderna	No

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-29

Symptoms: Tightness around upper arm including vaccine site

Release 7 — day 28, dose 1

2021-04-12

Symptoms: Rash/hives over abdomen and upper arm

Healthcare visit (other): Also have to see dermatologist

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Developed a rash/hives about a week after first vaccine.

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Continuation of rash reported yesterday

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Extremely low iron levels, possibly due to a slow bleed. My cardiologist has ordered tests to investigate.

Healthcare visit (other): In office medical visits and test

Release 11 — day 14, dose 4

2022-05-19

Symptoms: Runny nose, congestion, sneezing

Healthcare visit (other): Appointment today for Covid test

Release 11 — day 21, dose 4

2022-05-23

Symptoms: Had a positives Covid test on 5/19

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Blood iron decreased	·	·	✓
SD	Bronchiolitis	·	·	✓
SD	Medical counselling	·	·	✓
SD	Muscle tightness	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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