4KB-17131-66284

3 vaccinations 9 coded responses 19 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 194 / PA
Registered: 2021-05-12

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
2279015 (opens in a new window)	high	10 / 11	-1	5 of 12 VAERS symptoms	same dose (3)	PA matches	2022-04-01 / 2022-05-05 / 2022-05-16 received the same day as the last call	case 683263

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

2021-05-12
Registered in v-safe
2021-05-12
Dose 1 — Janssen/Johnson & Johnson
2021-05-12
Survey response — day 0, dose 1
MedDRA: Oedema peripheral, Tinnitus — Feeling: Good · Site: Pain · Headache

Free text: Bilateral Pulsatile Tinnitus, bilateral LLE edema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-26
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 21, single dose
MedDRA: Blister, Unevaluable event — Feeling: Good · 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: Symptoms: Blister on 4th digit right hand · Healthcare visit (other): Appointment scheduled for next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 21, single dose
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 2 — Left Voicemail
2021-06-23
Survey response — day 42, single dose
MedDRA: Headache, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus & headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — day 42, single dose
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 2 — Left Voicemail
2021-10-30
Dose 2 — Moderna
2021-11-01
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, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Feeling jittery, Irritability — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Jittery, prodromal, anxious, irritable

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — day 7, dose 2
MedDRA: Abnormal dreams, Insomnia — Feeling: Fair · 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: Vivid dreams & insomnia every night beginning with the night of my vaccination

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-20
Survey response — day 21, dose 2
MedDRA: Anaesthetic complication, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Oddly, I've had two minor procedures requiring lidocaine. Simply the lidocaine had little to no effect - meaning the areas did not get numb. The only change in my health or meds or routine was the Moderna booster.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-24
Call 3 — Left Voicemail
2021-11-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-04-01
Dose 3 — Moderna
2022-05-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 35, dose 3
MedDRA: Cough, Headache, Lacrimation increased, Nasal congestion, Oropharyngeal pain, Pyrexia — 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

Free text: Headache, nasal congestion, watery eyes, fever, sore throat, cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 35, 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 · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-13
Survey response — day 42, dose 3
MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Fair · 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: Tested positive for Covid on 5/6/22 - fully symptomatic

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — day 42, 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)
2022-05-16
Call 2 — Left Voicemail
2022-05-16
Call 2 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Completed over the phone
2022-05-16
Call successful
Completed over the phone
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-12	Janssen/Johnson & Johnson
2	2021-10-30	Moderna	No
3	2022-04-01	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-12

Systemic reaction (other): Bilateral Pulsatile Tinnitus, bilateral LLE edema

Release 8 — day 14, dose 1

2021-05-26

Symptoms: Headaches

Release 8 — day 21, single dose

2021-06-03

Symptoms: Blister on 4th digit right hand

Healthcare visit (other): Appointment scheduled for next week

Release 9 — day 42, single dose

2021-06-23

Symptoms: Tinnitus & headaches

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Jittery, prodromal, anxious, irritable

Release 10 — day 7, dose 2

2021-11-07

Systemic reaction (other): Vivid dreams & insomnia every night beginning with the night of my vaccination

Release 10 — day 21, dose 2

2021-11-20

Symptoms: Oddly, I've had two minor procedures requiring lidocaine. Simply the lidocaine had little to no effect - meaning the areas did not get numb. The only change in my health or meds or routine was the Moderna booster.

Release 11 — day 35, dose 3

2022-05-06

Symptoms: Headache, nasal congestion, watery eyes, fever, sore throat, cough

Release 11 — day 42, dose 3

2022-05-13

Symptoms: Tested positive for Covid on 5/6/22 - fully symptomatic

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	Unevaluable event	✓	✓	✓
SD	Anaesthetic complication	·	·	✓
SD	Blister	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Surgery	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Abnormal dreams	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Feeling jittery	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Irritability	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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