4FK-16673-09103

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 499 / MI
Registered: 2021-03-04

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
1520117 (opens in a new window)	low	10 / 11	10	2 of 7 VAERS symptoms	same dose (2)	MI matches	2021-04-01 / 2021-04-03 / 2021-08-02 received the same day as the last call	case 819319

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Fair · Fatigue or tiredness

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Gingival bleeding, Gingival erythema — Feeling: Good

Free text: Something strange happened yesterday morning. Didnt mention it yesterday, but my gums got real red & blood came out from a place in my gums. I normally have very healthy gums. They became beet red. I took a bunch of vitamins, & it got better - like it calmed down. Never happened before in my life. Not sure if its related. Wondering if anyone else had this experience?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 7, dose 1
MedDRA: Hot flush — Feeling: Good

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Where I got the shot feels dead but hurts yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Inflammation — Feeling: Good

Free text: Caused areas of my body to spike inflammation, especially where I broke my ankle a few years back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Feeling of body temperature change, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: With both shots I continue to have ups & downs of feeling really hot then cold. Arm still sore at the site but not real bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Brain fog, Malaise, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: General crummy feeling with sore throat & low grade fever. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-08-02
Call successful
Completed over the phone
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: More tired than normal.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
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)
2022-04-05
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Hot flashes

2021-03-08

Systemic reaction (other): Something strange happened yesterday morning. Didnt mention it yesterday, but my gums got real red & blood came out from a place in my gums. I normally have very healthy gums. They became beet red. I took a bunch of vitamins, & it got better - like it calmed down. Never happened before in my life. Not sure if its related. Wondering if anyone else had this experience?

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Hot flashes

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Where I got the shot feels dead but hurts yet.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Caused areas of my body to spike inflammation, especially where I broke my ankle a few years back.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): With both shots I continue to have ups & downs of feeling really hot then cold. Arm still sore at the site but not real bad.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: General crummy feeling with sore throat & low grade fever. Brain fog.

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: More tired than normal.

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	Brain fog	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Malaise	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Gingival bleeding	✓	✓	✓
SRO	Gingival erythema	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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