4AU-25071-19256

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1396671 (opens in a new window)	high	10 / 11	6	3 of 10 VAERS symptoms	same dose (1)	NY matches	2021-03-25 / 2021-03-30 / 2021-06-14 received 73 days after the last call	case 441807

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-25
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Survey response — day 7, dose 1
MedDRA: Cough, Dysphagia, Nausea, Oropharyngeal pain, Peripheral swelling, Pharyngeal swelling, Sensation of foreign body, Skin swelling, Stomatitis, Throat irritation, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Nausea, Vomiting · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Mild Sore throat but there is swelling. Feels like something is stuck in my throat. Tried to cough it up but it is my skin swelling. Roof of mouth is like sandpaper. Hard to swallow. Today is day three of the symptom but it is a little better today. Swelling on the arm started on day 2, progressively got worse but went down by day 8. Nausea was severe on day 1 and 2, mild now.. · Healthcare visit (other): My doctor will not treat me told me to go to this website instead. Or go to the emergency room but I am at work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 14, dose 1
MedDRA: Dysphagia, Headache, Oral mucosal roughening, Pain, Palatal swelling, Sensation of foreign body — Feeling: Poor · 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: Headaches, sore body, roof mouth rough swollen, Hard to swallow feel something in my throat. Shared this with my dr, told me to contact u, so I contacted u, nobody got back to me. It is evident that u don't care if I die, I'm just a statistic to u.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
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)
2021-04-15
Survey response — day 21, dose 1
MedDRA: Feeling abnormal, Loss of consciousness — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Loss of consciousness, blackouts and brain fog. The roof of my mouth is still rough and it's difficult to swallow but it is getting better. Nobody has called me or checked on me and I've asked for help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Requested Callback
2021-06-11
Call 2 — Requested Callback
2021-06-14
Call 3 — Requested Callback
2021-06-14
Callback requested for
05:00PM ET
2021-06-14
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Mild Sore throat but there is swelling. Feels like something is stuck in my throat. Tried to cough it up but it is my skin swelling. Roof of mouth is like sandpaper. Hard to swallow. Today is day three of the symptom but it is a little better today. Swelling on the arm started on day 2, progressively got worse but went down by day 8. Nausea was severe on day 1 and 2, mild now..

Healthcare visit (other): My doctor will not treat me told me to go to this website instead. Or go to the emergency room but I am at work

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Headaches, sore body, roof mouth rough swollen, Hard to swallow feel something in my throat. Shared this with my dr, told me to contact u, so I contacted u, nobody got back to me. It is evident that u don't care if I die, I'm just a statistic to u. cut off by CDC

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Loss of consciousness, blackouts and brain fog. The roof of my mouth is still rough and it's difficult to swallow but it is getting better. Nobody has called me or checked on me and I've asked for help.

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	Unevaluable event	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Loss of consciousness	✓	✓	✓
SD	Oral mucosal roughening	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palatal swelling	✓	✓	✓
SD	Sensation of foreign body	✓	✓	✓
SRO	Cough	○	✓	○
SRO	Dysphagia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Sensation of foreign body	✓	·	✓
SRO	Skin swelling	✓	·	✓
SRO	Stomatitis	✓	✓	✓
SRO	Throat irritation	○	✓	○

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

Possible VAERS report