4XY-28339-05215

3 vaccinations 9 coded responses 31 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 930 / CA
Registered: 2021-01-21

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2258608 (opens in a new window)	high	11 / 11	-2	2 of 2 VAERS symptoms	same dose (3)	CA matches	2022-04-03 / 2022-04-19 / 2022-04-29 received the same day as the last call	case 583103

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

2020-12-29
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chills, Discomfort, Emotional disorder, Feeling cold, Headache, Hypersomnia, Pain, Pain in extremity, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: 3 hours after vaccine arm hurt. Light body aches at 4 pm. 8 pm chills progressed to severe by 10 pm. Teeth chattered. Had to put socks on hands. Emotional. Could not get comfortable reading or watching tv. Went to bed at 10. Woke at midnight. Finally warm. Took temp 100. Took 650 mg Tylenol. Took all clothes off under blanket. Felt super weak. Woke feeling weak with slight headache at 7. Went back to sleep til noon felt much better. Slight headache lingered all day so far.

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: Good · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Malaise — Feeling: Fair

Free text: I woke feeling not as well as yesterday, I felt slow, dumbly, then later I felt my heart beating harder but not faster for 5 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-03
Dose 3 — Moderna
2022-04-03
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Be unable to work or attend school

Free text: I just got it so it has not been long

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Chest discomfort, Pain, Restlessness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Restlessness, Ancy, chest pounding, weakness

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Survey response — days 1–6 daily, dose 3
MedDRA: Angina pectoris, Feeling abnormal, Headache, Paraesthesia, Visual brightness — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school

Free text: Forgot to mention initially when I got the vaccine I got strange tingling/pain at the top of my head. Lasted several minutes. Yesterday when I felt terrible. I noticed a white glow in my vision. Today I have been having random stabbing heart tinges

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Rash on for arms about 2 inches from wrist. Light in color

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-10
Survey response — day 7, dose 3
MedDRA: Eye irritation, Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Tired today and eyes burning

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-04-24
Survey response — day 21, dose 3
MedDRA: Deafness unilateral, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus with acuity hearing loss to L ear. Came on abruptly on 4/19. MD on 4/20 On Prednisone 60 mg to start with taper. Stat referral to Audiology with acute hearing loss to L ear. Ringing in R ear started, less degree so far.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-29
Call successful
Completed over the phone
2022-05-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-05-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-10-03
Survey response — 6 months, dose 3
MedDRA: Chest pain, Deafness, Palpitations, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had chest pain and heart palpitations. I also have tinnitus with hearing loss 2 weeks after receiving the booster that continues is loud and not going away since that time. Mainly the Left ear.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-04
Call 1 — Left Voicemail
2023-04-05
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2022-04-03	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 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): 3 hours after vaccine arm hurt. Light body aches at 4 pm. 8 pm chills progressed to severe by 10 pm. Teeth chattered. Had to put socks on hands. Emotional. Could not get comfortable reading or watching tv. Went to bed at 10. Woke at midnight. Finally warm. Took temp 100. Took 650 mg Tylenol. Took all clothes off under blanket. Felt super weak. Woke feeling weak with slight headache at 7. Went back to sleep til noon felt much better. Slight headache lingered all day so far.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): I woke feeling not as well as yesterday, I felt slow, dumbly, then later I felt my heart beating harder but not faster for 5 hours

Release 11 — day 0, dose 3

2022-04-03

Systemic reaction (other): I just got it so it has not been long

Release 11 — days 1–6 daily, dose 3

2022-04-04

Systemic reaction (other): Restlessness, Ancy, chest pounding, weakness

2022-04-05

Systemic reaction (other): Forgot to mention initially when I got the vaccine I got strange tingling/pain at the top of my head. Lasted several minutes. Yesterday when I felt terrible. I noticed a white glow in my vision. Today I have been having random stabbing heart tinges cut off by CDC

2022-04-06

Systemic reaction (other): Rash on for arms about 2 inches from wrist. Light in color

Release 11 — day 7, dose 3

2022-04-10

Systemic reaction (other): Tired today and eyes burning

Release 11 — day 21, dose 3

2022-04-24

Symptoms: Tinnitus with acuity hearing loss to L ear. Came on abruptly on 4/19. MD on 4/20 On Prednisone 60 mg to start with taper. Stat referral to Audiology with acute hearing loss to L ear. Ringing in R ear started, less degree so far.

Release 12 — 6 months, dose 3

2022-10-03

Symptoms: I had chest pain and heart palpitations. I also have tinnitus with hearing loss 2 weeks after receiving the booster that continues is loud and not going away since that time. Mainly the Left ear.

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	Chest pain	·	·	✓
SD	Deafness	·	·	✓
SD	Deafness unilateral	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Angina pectoris	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Eye irritation	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Rash	·	·	✓
SRO	Restlessness	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Visual brightness	·	·	✓

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