4QX-81697-68651

2 vaccinations 15 coded responses 21 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 446 / OH
Registered: 2020-12-24

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
1130999 (opens in a new window)	high	11 / 11	6	3 of 5 VAERS symptoms	same dose (1)	OH matches	2020-12-23 / 2020-12-30 / 2021-03-24 received 84 days after the last call	case 1255524

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

2020-12-23
Dose 1 — Moderna
2020-12-24
Registered in v-safe
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Headache, Pain in extremity, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Runny nose and headache, bottom of feet hurt and hard to bend toes because af joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Runny nose , short of Breath and when breath in chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2020-12-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Sore throat I have autoimmune disorders including fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — day 7, dose 1
MedDRA: Arthralgia, Gait disturbance, Palpitations, Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Hard to walk, so much joint pain, heart palpitations, I have thyroid and mitral valve prolapse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — day 14, dose 1
MedDRA: Joint swelling — Feeling: Fair

Free text: Swelling of my joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 21, dose 1
MedDRA: Alopecia, Bone pain, Face oedema, Facial pain, Glossodynia, Immune system disorder, Oedema peripheral, Pain in extremity, Paraesthesia, Pre-existing disease, Thyroid mass, Tongue ulceration — Feeling: Fair

Free text: Sores on tongue, and edema in legs , hands , feet and facestill losing hair, severe bone pain, skin tingles Have immune system disorders and thyroid nodule

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — day 28, dose 1
MedDRA: Autoimmune disorder, Face oedema — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Edema of the face I also have autoimmune disorders

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Dose 2 — Moderna
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Oedema, Pyrexia, Urine output decreased — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain

Free text: Had 102.7 fever Saturday, have fibromyalgia Also having edema and decrease urine output

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea, Vomiting

Adult check-in
2021-01-29
Survey response — day 7, dose 2
MedDRA: Alopecia — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Losing my hair a lot at a time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 2
MedDRA: Alopecia, Peripheral swelling, Pre-existing disease, Taste disorder — Feeling: Good

Free text: Swollen legs and have to take la six, hair falling out and altered taste , I have thyroid nodule and fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 35, dose 2
MedDRA: Alopecia, Peripheral swelling, Taste disorder — Feeling: Good

Free text: Swelling of legs have to take Ladin and alternation of taste and losing hair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Call 1 — Left Voicemail
2021-04-06
Call 2 — Left Voicemail
2021-04-23
Survey response — 3 months, dose 2
MedDRA: Chills, Fluid retention, Pyrexia, Swelling — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever of 101.7 and severe chills on Friday nights, retaining water and swelling more than last month

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Call successful
Completed over the phone
2021-07-23
Survey response — 6 months, dose 2
MedDRA: Pyelonephritis, Pyrexia, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Uti and polynephritis and fever

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-07-26
Call successful
Participant prefers to complete VAERS report online
2022-01-22
Survey response — 12 months, dose 2
MedDRA: Deafness, Renal disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Hearing loss Kidney issues · Healthcare visit (other): Ct scan, hearing aids bilateral and bladder bx

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
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)
2022-01-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-22	Moderna

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): Runny nose and headache, bottom of feet hurt and hard to bend toes because af joint pain

2020-12-25

Systemic reaction (other): Runny nose , short of Breath and when breath in chest tightness

2020-12-27

Systemic reaction (other): Slight cough

2020-12-29

Systemic reaction (other): Sore throat I have autoimmune disorders including fibromyalgia

Release 1 — day 7, dose 1

2020-12-30

Systemic reaction (other): Hard to walk, so much joint pain, heart palpitations, I have thyroid and mitral valve prolapse

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Swelling of my joints

Release 1 — day 21, dose 1

2021-01-13

Symptoms: Sores on tongue, and edema in legs , hands , feet and facestill losing hair, severe bone pain, skin tingles Have immune system disorders and thyroid nodule

Release 2 — day 28, dose 1

2021-01-20

Symptoms: Edema of the face I also have autoimmune disorders

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Had 102.7 fever Saturday, have fibromyalgia Also having edema and decrease urine output

Release 3 — day 7, dose 2

2021-01-29

Systemic reaction (other): Losing my hair a lot at a time

Release 4 — day 21, dose 2

2021-02-12

Symptoms: Swollen legs and have to take la six, hair falling out and altered taste , I have thyroid nodule and fibromyalgia

Release 4 — day 35, dose 2

2021-02-26

Symptoms: Swelling of legs have to take Ladin and alternation of taste and losing hair

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Fever of 101.7 and severe chills on Friday nights, retaining water and swelling more than last month

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: Uti and polynephritis and fever

Release 11 — 12 months, dose 2

2022-01-22

Symptoms: Hearing loss Kidney issues

Healthcare visit (other): Ct scan, hearing aids bilateral and bladder bx

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	Alopecia	✓	✓	✓
SD	Autoimmune disorder	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Deafness	·	·	✓
SD	Face oedema	✓	✓	✓
SD	Facial pain	○	✓	○
SD	Fluid retention	✓	✓	✓
SD	Glossodynia	○	✓	○
SD	Immune system disorder	○	✓	○
SD	Joint swelling	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pain in extremity	○	✓	○
SD	Paraesthesia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Polyneuropathy	○	·	○
SD	Pre-existing disease	✓	✓	✓
SD	Pyelonephritis	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Renal disorder	·	·	✓
SD	Swelling	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SD	Thyroid mass	✓	✓	✓
SD	Tongue ulceration	✓	·	✓
SD	Urinary tract infection	✓	·	✓
SRO	Alopecia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oedema	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Urine output decreased	✓	✓	✓

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