48Y-24595-04612

3 vaccinations 9 coded responses 36 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 021 / MA
Registered: 2021-01-31

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
2283118 (opens in a new window)	high	10 / 11	8	2 of 5 VAERS symptoms	same dose (3)	MA matches	2021-10-22 / 2021-11-01 / 2022-05-18 received the same day as the last call	case 570714

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

2021-01-31
Registered in v-safe
2021-01-31
Dose 1 — Moderna
2021-01-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Some appetite suppression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Moderna
2021-02-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Night sweats, Restless legs syndrome — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Night sweats, restless leg-type symptoms all along right (injection) side. Both at night making sleep difficult past two nights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pain in extremity, Pruritus — Feeling: Good · Fatigue or tiredness

Free text: Seeking, redness, pain and itching in area of right big toe yesterday and today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — day 14, dose 2
MedDRA: Arthralgia, Ear discomfort, Headache, Pain in extremity, Rhinorrhoea, Sinusitis — Feeling: Good

Free text: Some right foot pain and knee pain. Feeling of having a slight sinus infection increased with ear blockage & runny nose & slight headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Decreased appetite, Ear discomfort, Malaise, Sinus headache — Feeling: Fair

Free text: Sinus headache, blocked ears, lack of interest in food, lack of stamina, gastrointestinal upset, just not feeling right.

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

Adult check-in
2021-04-11
Survey response — day 42, dose 2
MedDRA: Fatigue, Sinusitis — Feeling: Good

Free text: Tiredness and feeling I had a sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Asthenia, Rhinorrhoea, Tongue ulceration — Feeling: Fair

Free text: Recurring small sores/pimples on tongue. Continuing runny nose. Diminished stamina.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Pericardial drainage, Pericardial effusion — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Increased size of pericardial effusion necessitating pericardiocentesis. · Healthcare visit (other): Elective pericardiocentesis

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-04-25
Call 1 — Requested Callback
2022-05-18
Callback requested for
1:30PM ET
2022-05-18
Call successful
Completed over the phone
2022-10-22
Survey response — 12 months, dose 3
MedDRA: COVID-19, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: Covid 9/24-10/4/22. Mild case. Fever 101 for one day and cold symptoms.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna
3	2021-10-22	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Some appetite suppression

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Night sweats, restless leg-type symptoms all along right (injection) side. Both at night making sleep difficult past two nights

2021-03-06

Systemic reaction (other): Seeking, redness, pain and itching in area of right big toe yesterday and today.

Release 5 — day 14, dose 2

2021-03-14

Symptoms: Some right foot pain and knee pain. Feeling of having a slight sinus infection increased with ear blockage & runny nose & slight headache.

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Sinus headache, blocked ears, lack of interest in food, lack of stamina, gastrointestinal upset, just not feeling right.

Release 7 — day 42, dose 2

2021-04-11

Symptoms: Tiredness and feeling I had a sinus infection

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Recurring small sores/pimples on tongue. Continuing runny nose. Diminished stamina.

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Increased size of pericardial effusion necessitating pericardiocentesis.

Healthcare visit (other): Elective pericardiocentesis

Release 12 — 12 months, dose 3

2022-10-22

Symptoms: Covid 9/24-10/4/22. Mild case. Fever 101 for one day and cold symptoms.

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	Pericardial drainage	·	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Acne	○	○	○
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Glossodynia	○	○	○
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pericardial drainage	·	·	✓
SD	Pericardial effusion	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Tongue ulceration	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓

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