4PU-31366-81180

4 vaccinations 7 coded responses 25 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 926 / CA
Registered: 2021-10-25

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
2264823 (opens in a new window)	high	11 / 11	3	6 of 12 VAERS symptoms	same dose (3)	CA matches	2021-10-24 / 2022-04-16 / 2022-05-05 received the same day as the last call	case 583143

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

2021-03-05
Dose 1 — Moderna
2021-04-06
Dose 2 — Moderna
2021-10-24
Dose 3 — Moderna
2021-10-25
Registered in v-safe
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, 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
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Self-medication — Feeling: Fair · Site: Pain · Headache

Free text: I don't normally have headaches but since my booster shot I've been fighting a pretty bad headache that's not going away and not touched by Tylenol or NSAIDS. It's a little concerning. I'm still able to function, so I'm ranking it as mild.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Fair

Free text: I've been battling headaches since my booster shot. Headache will subside and then return. I don't normally have headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Chills, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing — 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

Free text: I tested positive for COVID on 4/16. I had runny nose, sneezing, sore throat, fever, chills, aches. I'm just getting over it.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 6 months, 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)
2022-04-26
Call 1 — Left Voicemail
2022-05-05
Call successful
Completed over the phone
2022-09-26
Dose 4 — Moderna
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, 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
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-31
Survey response — day 35, dose 4
MedDRA: Headache, Oropharyngeal pain — Feeling: Poor

Free text: sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Survey response — day 42, dose 4
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work or attend school

Free text: sore throat, cough, aches, bad cold not COVID or vaccine related

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Survey response — 3 months, dose 4
MedDRA: Viral infection — 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, Emergency room or emergency department visit

Free text: 2 viral infections but no COVID

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Report sent to call center — 3 months, dose 4
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 · Emergency room or emergency department visit · 1 call case(s)
2022-12-28
Call 1 — Left Voicemail
2023-03-27
Survey response — 6 months, dose 4
MedDRA: Amenorrhoea — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna	No
2	2021-04-06	Moderna	No
3	2021-10-24	Moderna	No
4	2022-09-26	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): I don't normally have headaches but since my booster shot I've been fighting a pretty bad headache that's not going away and not touched by Tylenol or NSAIDS. It's a little concerning. I'm still able to function, so I'm ranking it as mild.

Release 10 — day 14, dose 3

2021-11-07

Symptoms: I've been battling headaches since my booster shot. Headache will subside and then return. I don't normally have headaches.

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: I tested positive for COVID on 4/16. I had runny nose, sneezing, sore throat, fever, chills, aches. I'm just getting over it.

Release 12 — day 35, dose 4

2022-10-31

Symptoms: sore throat, headache

Release 12 — day 42, dose 4

2022-11-07

Symptoms: sore throat, cough, aches, bad cold not COVID or vaccine related

Release 12 — 3 months, dose 4

2022-12-26

Symptoms: 2 viral infections but no COVID

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	Amenorrhoea	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SD	Viral infection	·	·	✓
SRO	Headache	·	·	✓
SRO	Self-medication	·	·	✓

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