4VN-24656-87295

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 231 / VA
Registered: 2021-05-12

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1971515 (opens in a new window)	high	10 / 11	—	4 of 16 VAERS symptoms	same dose (3)	VA matches	2021-12-18 / 2021-12-19 / 2021-12-22 received 362 days before the last call	case 1227534

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 — Moderna
2021-05-12
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Lip swelling — Feeling: Good

Free text: Tongue had a strange taste. Bottom lip felt swollen but okay now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, Swelling

Free text: Swelling and lil pain injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-09
Dose 2 — Moderna
2021-06-09
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Good

Free text: Taste little of medication

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Taste disorder — Feeling: Good · Site: Swelling

Free text: Taste meds, lil pain in arm yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-18
Dose 3 — Moderna
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Dyspnoea, Induration, Medical counselling, Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Itching was terrible yesterday. Arm swollen and hard. Today itching moderate. Felt winded today. · Healthcare visit (other): I called my pharmacist and doctor concerning my symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · None

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Dyspnoea, Fatigue, Feeling abnormal, Injection site rash, Joint swelling, Peripheral swelling, Rash erythematous — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Very tired, drained and do not feel totally myself. · Healthcare visit (other): Shortness of breath, hands were swollen earlier the day, ankles swollen, lower legs swollen, and red rash on both sides of injection site near my arm pits.

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-12-22
Call successful
Completed over the phone
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Lil winded and tired.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Call successful
Reported to VAERS during previous contact from GDIT
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Unevaluable event — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still feel lil tired but a whole lot better. I am concerned why I had a reaction to this Moderna's booster and I did not have it with the moderna other vaccines. · Healthcare visit (other): Ultra sound on my legs on Thursday to rule out blood clots.

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-27
Call 1 — Left Voicemail
2022-01-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-18
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Diarrhoea, Fatigue, Headache, Pyrexia, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tired, lil fever, congestion, loose bowels, head aches, joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-12-18
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-19
Call successful
Reported to VAERS during previous contact from GDIT
2022-12-19
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-12	Moderna
2	2021-06-09	Moderna
3	2021-12-18	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-12

Systemic reaction (other): Tongue had a strange taste. Bottom lip felt swollen but okay now.

Release 8 — days 1–6 daily, dose 1

2021-05-13

Systemic reaction (other): Swelling and lil pain injection site

Release 9 — day 0, dose 2

2021-06-09

Systemic reaction (other): Taste little of medication

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): Taste meds, lil pain in arm yesterday

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): Itching was terrible yesterday. Arm swollen and hard. Today itching moderate. Felt winded today.

Healthcare visit (other): I called my pharmacist and doctor concerning my symptoms.

2021-12-22

Systemic reaction (other): Very tired, drained and do not feel totally myself.

Healthcare visit (other): Shortness of breath, hands were swollen earlier the day, ankles swollen, lower legs swollen, and red rash on both sides of injection site near my arm pits.

2021-12-23

Systemic reaction (other): Lil winded and tired.

2021-12-24

Systemic reaction (other): Still feel lil tired but a whole lot better. I am concerned why I had a reaction to this Moderna's booster and I did not have it with the moderna other vaccines.

Healthcare visit (other): Ultra sound on my legs on Thursday to rule out blood clots.

Release 12 — 12 months, dose 3

2022-12-18

Symptoms: Tired, lil fever, congestion, loose bowels, head aches, joint pain

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	Adverse reaction	·	·	✓
HCVO	Dyspnoea	·	·	✓
HCVO	Injection site rash	·	·	✓
HCVO	Joint swelling	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Peripheral swelling	·	·	✓
HCVO	Rash erythematous	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Induration	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Taste disorder	✓	✓	✓

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