4HK-95738-71973

1 vaccination 9 coded responses 11 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 811 / CO
Registered: 2021-01-12

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1391818 (opens in a new window)	high	11 / 11	3	1 of 1 VAERS symptoms	same dose (1)	CO matches	2021-01-12 / 2021-01-16 / 2021-06-11 received the same day as the last call	case 518371

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Nothing so far, thank God.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Impaired work ability, Pain in extremity, Self-medication — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to work

Free text: My left arm, really hurts, but I took a Tylenol, I took tomorrow off, just to feel better.

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 — days 1–6 daily, dose 1
MedDRA: Arthralgia, Headache — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to work

Free text: Mild headache, shoulder pain is easing up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Oral herpes — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: I woke up with a fever blister, and feeling a little tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Fever blisters above my mouth, below my nose, I put blistex cream on it, and it's helping. It's the weekend so I don't work until tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Fever blisters on my above my upper lip below my nose, still present, but healing with blistex

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Survey response — 3 months, dose 1
MedDRA: Headache, Impaired work ability — 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: Ive had a headache, since I got the first vaccine, its a frontal lobe headache. It's been almost since the 9th of January. I have a Dr appointment this month. I quit working, because the headache, is disturbing. I've been home since the 12 of March.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — 3 months, 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)
2021-06-10
Call 1 — Left Voicemail
2021-06-11
Call successful
Completed over the phone
2021-07-13
Survey response — 6 months, dose 1
MedDRA: Headache, Office visit — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: I'm having an MRI, due to continued headaches, since I got my first Covid-19 vaccine in January, I'm seeing my doctor every month since April. My headache's have not stopped. I had to quit my job in March. All of 2021. These headaches are constant. · Healthcare visit (other): Continued medical visits with my doctor monthly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2022-01-15
Survey response — 12 months, dose 1
MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to work or attend school

Free text: Joint pain,headache still

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna

Call center

4 call center cases

1 successful · 1 unsuccessful · 2 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 — day 0, dose 1

2021-01-12

Systemic reaction (other): Nothing so far, thank God.

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): My left arm, really hurts, but I took a Tylenol, I took tomorrow off, just to feel better.

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Mild headache, shoulder pain is easing up

2021-01-16

Systemic reaction (other): I woke up with a fever blister, and feeling a little tired

2021-01-17

Systemic reaction (other): Fever blisters above my mouth, below my nose, I put blistex cream on it, and it's helping. It's the weekend so I don't work until tomorrow

2021-01-18

Systemic reaction (other): Fever blisters on my above my upper lip below my nose, still present, but healing with blistex

Release 7 — 3 months, dose 1

2021-04-14

Symptoms: Ive had a headache, since I got the first vaccine, its a frontal lobe headache. It's been almost since the 9th of January. I have a Dr appointment this month. I quit working, because the headache, is disturbing. I've been home since the 12 of March. cut off by CDC

Release 9 — 6 months, dose 1

2021-07-13

Symptoms: I'm having an MRI, due to continued headaches, since I got my first Covid-19 vaccine in January, I'm seeing my doctor every month since April. My headache's have not stopped. I had to quit my job in March. All of 2021. These headaches are constant. cut off by CDC

Healthcare visit (other): Continued medical visits with my doctor monthly

Release 10 — 12 months, dose 1

2022-01-15

Symptoms: Joint pain,headache still

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	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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