4FK-32968-10346

5 vaccinations 9 coded responses 66 check-ins 8 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-01-04

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
1586925 (opens in a new window)	high	10 / 11	8	1 of 3 VAERS symptoms	same dose (2)	CA matches	2021-02-11 / 2021-02-11 / 2021-08-19 received the same day as the last call	case 931844

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Survey response — day 28, dose 1
MedDRA: Muscle spasms, Office visit, Pain in extremity — Feeling: Fair · 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: Symptoms: Pain right calf. Muscle cramps both calves. · Healthcare visit (other): Ultrasound today 2/1/21. In person appointment with oncology nurse practitioner tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Survey response — day 35, dose 1
MedDRA: Abdominal pain upper, Back pain, SARS-CoV-2 test positive — 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: Tested Covid+Terrible back painStomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 35, 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)
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Limb injury, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Injured right calf · Healthcare visit (other): PHysical therapy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-08-19
Call 2 — Left Voicemail
2021-08-19
Call successful
Completed over the phone
2021-10-23
Dose 3 — Pfizer-BioNTech
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Area on face by cheek bones feels numb. When I touch these areas I can feel them.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-11-06
Survey response — day 14, dose 3
MedDRA: Adverse reaction — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu shot yesterday. Having side effects from that.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-20
Survey response — day 28, dose 3
MedDRA: Neuropathy peripheral, Pain, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Peripheral neuropathy in right foot worse with stabbing burning pain in area under 3rd and 4th toes. Never had before.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-23
Call 1 — Left Voicemail
2021-11-27
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Eye swelling, Foreign body sensation in eyes, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left eye floaters. Left eye swollen. Left eye feels like something is in it.

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-16
Dose 4 — Pfizer-BioNTech
2022-07-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-14
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-21
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 21, dose 5
Feeling: Fair

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

Adult check-in
2022-11-18
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-25
Survey response — day 42, dose 5
MedDRA: Hydronephrosis, Kidney infection, Nephrolithiasis — 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 · Emergency room or emergency department visit

Free text: Kidney stones, hydronephrosis, kidney infection.

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Report sent to call center — day 42, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-11-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-13
Survey response — 3 months, dose 5
MedDRA: Diarrhoea, Nausea, Nephrolithiasis, Vomiting — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-13
Report sent to call center — 3 months, dose 5
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)
2023-01-16
Call successful
Participant prefers to complete VAERS report online
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-11	Moderna
3	2021-10-23	Pfizer-BioNTech	No
4	2022-07-16	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	Flu

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 3 — day 28, dose 1

2021-02-01

Symptoms: Pain right calf. Muscle cramps both calves.

Healthcare visit (other): Ultrasound today 2/1/21. In person appointment with oncology nurse practitioner tomorrow.

Release 3 — day 35, dose 1

2021-02-08

Symptoms: Tested Covid+Terrible back painStomach pain

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Injured right calf

Healthcare visit (other): PHysical therapy

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Area on face by cheek bones feels numb. When I touch these areas I can feel them.

Release 10 — day 14, dose 3

2021-11-06

Symptoms: Flu shot yesterday. Having side effects from that.

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Peripheral neuropathy in right foot worse with stabbing burning pain in area under 3rd and 4th toes. Never had before.

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Left eye floaters. Left eye swollen. Left eye feels like something is in it.

Release 12 — day 42, dose 5

2022-11-25

Symptoms: Kidney stones, hydronephrosis, kidney infection.

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	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Adverse reaction	·	·	✓
SD	Back pain	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Eye swelling	·	·	✓
SD	Foreign body sensation in eyes	·	·	✓
SD	Hydronephrosis	·	·	✓
SD	Kidney infection	·	·	✓
SD	Limb injury	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Vitreous floaters	·	·	✓
SD	Vomiting	·	·	✓
SRO	Hypoaesthesia	·	·	✓

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