4EL-23609-55561

5 vaccinations 15 coded responses 45 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 983 / WA
Registered: 2021-01-07

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2610823 (opens in a new window)	low	10 / 11	9	4 of 10 VAERS symptoms	same dose (5)	GA differs	2022-10-05 / 2022-12-27 / 2023-04-06 received the same day as the last call	case 462657

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 · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Free text: All very mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Some congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Mild Cough congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Severe coughing & some congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Congestion and cough

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 work

1 call case(s)
2021-01-14
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: A lot of congestion cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 7, dose 1
Be unable to work

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

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Chills, Headache, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: 2 days this week I had severe R groin pain, headache, nausea, fever & chills, vomited. Stayed in bed applied ice to groin, rehydrated. Feel fine on 3rd day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2022-02-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-11
Dose 4 — Moderna
2022-04-23
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: Nope

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 14, dose 4
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Good

Free text: Wake up in the morning and my arm still a bit sore and stiff. Once I'm up it gets better.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Dose 5 — Moderna
Co-administered: Flu
2022-10-07
Survey response — days 1–6 daily, dose 5
MedDRA: Adverse reaction, Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Symptoms were yesterday day after. Today only mild sore arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — days 1–6 daily, dose 5
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

Free text: Diarrhea yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-04
Survey response — 3 months, dose 5
MedDRA: Chills, Cough, Diarrhoea, Headache, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-05
Survey response — 6 months, dose 5
MedDRA: Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-05
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-06
Call 1 — Requested Callback
2023-04-06
Callback requested for
02:00PM ET
2023-04-06
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-10-28	Moderna	No
4	2022-04-11	Moderna	No
5	2022-10-05	Moderna	Flu

Call center

4 call center cases

1 successful · 3 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): All very mild.

2021-01-09

Systemic reaction (other): Some congestion

2021-01-10

Systemic reaction (other): Mild Cough congestion

2021-01-11

Systemic reaction (other): Severe coughing & some congestion

2021-01-12

Systemic reaction (other): Congestion and cough

2021-01-13

Systemic reaction (other): Congestion and cough

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): A lot of congestion cough

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Diarrhea

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: 2 days this week I had severe R groin pain, headache, nausea, fever & chills, vomited. Stayed in bed applied ice to groin, rehydrated. Feel fine on 3rd day.

Release 11 — day 7, dose 4

2022-04-23

Systemic reaction (other): Nope

Release 11 — day 14, dose 4

2022-04-25

Symptoms: Wake up in the morning and my arm still a bit sore and stiff. Once I'm up it gets better.

Release 12 — days 1–6 daily, dose 5

2022-10-07

Systemic reaction (other): Symptoms were yesterday day after. Today only mild sore arm

2022-10-09

Systemic reaction (other): Diarrhea yesterday

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	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓

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