4B4-99510-04384

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 988 / WA
Registered: 2021-01-23

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
2131514 (opens in a new window)	high	8 / 11	2	0 of 6 VAERS symptoms	same dose (2)	WA matches	2021-02-19 / 2021-02-20 / 2022-02-22 received 190 days after the last call	case 240055

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Bell's palsy, Paraesthesia, Paraesthesia oral — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Mild symptom - I had Bells Palsy 25 years ago, and the right side of my face is somewhat tingling now as it was back then. Right side of my tongue is a bit tingly also. My vaccine was given in my left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Oropharyngeal pain, Sinus pain — Feeling: Fair · Headache, Muscle or body aches

Free text: Sore throat, sinuses ache, ears ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache

Free text: Sore throat, nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Headache

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: These mostly took place last night 10pm-8am

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Aphthous ulcer, Glossodynia — Feeling: Good

Free text: Im not sure if this has anything to do with the vaccine, but Ive had numerous canker sores in my mouth for the last 3 weeks. Some cankers are on my tongue - top, sides and bottom. Ive also had multiple small cankers on the inside of my low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-21
Survey response — 12 months, dose 2
MedDRA: Cough, Sinus disorder, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus issues, post nasal drip, coughing

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail
2022-02-22
Callback requested for
03:30PM ET
2022-02-22
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Mild symptom - I had Bells Palsy 25 years ago, and the right side of my face is somewhat tingling now as it was back then. Right side of my tongue is a bit tingly also. My vaccine was given in my left arm.

2021-01-27

Systemic reaction (other): Sore throat, sinuses ache, ears ache

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Sore throat, nasal congestion

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Sore throat

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): These mostly took place last night 10pm-8am

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Im not sure if this has anything to do with the vaccine, but Ive had numerous canker sores in my mouth for the last 3 weeks. Some cankers are on my tongue - top, sides and bottom. Ive also had multiple small cankers on the inside of my low

Release 11 — 12 months, dose 2

2022-02-21

Symptoms: Sinus issues, post nasal drip, coughing

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	Aphthous ulcer	✓	✓	✓
SD	Cough	·	·	✓
SD	Glossodynia	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Bell's palsy	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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