4C5-28051-48474

4 vaccinations 11 coded responses 29 check-ins 10 free-text entries 9 call cases

Sex: —
Age at first dose: 36-40
ZIP prefix: 981 / WA
Registered: 2021-01-07

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
1388540 (opens in a new window)	high	9 / 11	7	1 of 9 VAERS symptoms	same dose (2)	WA matches	2021-02-01 / 2021-02-02 / 2021-06-10 received 85 days after the last call	case 351838

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Biliary colic, Office visit, Telemedicine — Feeling: Poor · Abdominal pain · 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: Systemic reaction (other): My gallbladder is now in pain. Had to get an ultrasound today. · Healthcare visit (other): Ultrasound with (b)(6) and then virtual care visit with my PCP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-16
Survey response — day 7, dose 1
MedDRA: Biliary colic — Feeling: Fair · Joint pains, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Gallbladder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-30
Survey response — day 21, dose 1
MedDRA: Cholecystectomy, Gallbladder disorder, Medical observation — 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: Symptoms: Needing gallbladder removal but probably unrelated. · Healthcare visit (other): Meet with pcp and general surgeon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — day 21, 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)
2021-02-01
Dose 2 — Moderna
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: The vaccine sent me into a full IBS flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Survey response — day 14, dose 2
MedDRA: Depression, Fatigue — 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: Intense depression and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, 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)
2021-03-04
Call 1 — Left Voicemail
2021-03-17
Survey response — day 42, dose 2
MedDRA: Psoriasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Psoriasis on both elbows

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call successful
Completed over the phone
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Poor · 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: Im having issues with extreme fatigue with no known cause.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-13
Call 3 — Left Voicemail
2021-11-19
Dose 3 — Moderna
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Candida infection, Viral infection — Feeling: Poor · 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: Thrush, another virus

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 3 months, dose 3
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)
2022-02-22
Call 1 — Left Voicemail
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Temperature intolerance — Feeling: Fair · 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: Heart intolerance

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 3 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-09-26
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Glands are all swollen

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-03-27
Survey response — 6 months, dose 4
MedDRA: Fibromyalgia — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-27
Report sent to call center — 6 months, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 2 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-01	Moderna
3	2021-11-19	Moderna	No
4	2022-09-26	Pfizer-BioNTech	Flu

Call center

9 call center cases

5 successful · 4 unsuccessful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): My gallbladder is now in pain. Had to get an ultrasound today.

Healthcare visit (other): Ultrasound with (b)(6) and then virtual care visit with my PCP.

redacted (b)(6)

Release 2 — day 7, dose 1

2021-01-16

Systemic reaction (other): Gallbladder pain

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Needing gallbladder removal but probably unrelated.

Healthcare visit (other): Meet with pcp and general surgeon

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): The vaccine sent me into a full IBS flare

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Intense depression and fatigue

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Psoriasis on both elbows

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Im having issues with extreme fatigue with no known cause.

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Thrush, another virus

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Heart intolerance

Release 12 — days 1–6 daily, dose 4

2022-09-29

Systemic reaction (other): Glands are all swollen

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 observation	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
SD	Candida infection	·	·	✓
SD	Cholecystectomy	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	·	·	✓
SD	Gallbladder disorder	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Temperature intolerance	·	·	✓
SD	Viral infection	·	·	✓
SRO	Biliary colic	✓	✓	✓
SRO	Irritable bowel syndrome	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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