4BJ-26339-94838

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 080 / NJ
Registered: 2021-02-18

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
2054360 (opens in a new window)	high	11 / 11	—	2 of 4 VAERS symptoms	same dose (2)	NJ matches	2021-03-16 / 2021-03-17 / 2022-01-21 received 310 days after the last call	case 352244

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

2021-02-16
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling

Free text: I feel completely fine but have around a 3inch circumstance of very red area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Have had a very slight headache since the night of shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Severe redness is gone and slight rash has replaced it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Self-medication — Feeling: Good · Headache

Free text: Waking up with headache nearly daily but fine after Advil

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-02
Survey response — day 14, dose 1
MedDRA: Aphthous ulcer, Erythema, Fatigue, Feeling abnormal, Headache, Urticaria — Feeling: Poor · Be unable to work, 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: Severe red welt on arm came back. Headache daily, canker sores and severe fatigue, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-16
Survey response — day 0, dose 2
MedDRA: Rash — Feeling: Good

Free text: I still have a rash from first dose. Rash has appeared on my other arm and inner thigh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Chills · Be unable to work, 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: Rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Rash on both arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-21
Call 1 — Left Voicemail
2022-01-21
Call successful
Completed over the phone
2022-01-21
Call successful
Completed over the phone
2022-03-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): I feel completely fine but have around a 3inch circumstance of very red area

2021-02-19

Systemic reaction (other): Have had a very slight headache since the night of shot

2021-02-20

Systemic reaction (other): Severe redness is gone and slight rash has replaced it

2021-02-22

Systemic reaction (other): Waking up with headache nearly daily but fine after Advil

Release 4 — day 14, dose 1

2021-03-02

Symptoms: Severe red welt on arm came back. Headache daily, canker sores and severe fatigue, brain fog

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): I still have a rash from first dose. Rash has appeared on my other arm and inner thigh

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Rash

2021-03-19

Systemic reaction (other): Rash on both arms and legs

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	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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