4YG-29132-58321

5 vaccinations 9 coded responses 56 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 891 / NV
Registered: 2021-02-08

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2605012 (opens in a new window)	medium	10 / 11	9	3 of 7 VAERS symptoms	same dose (5)	NV matches	2022-09-22 / 2022-12-21 / 2023-03-28 received the same day as the last call	case 1240967

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 21, dose 1
MedDRA: Swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had a round small circle that was hard and flat for 2 yrs. Now it has risen into a bump that i can feel when on my back or otherwise. It's worrying me and I'll see a PMC Dr and ask for a referral to dermatologist this week. · Healthcare visit (other): Can't get in yet. Doesn't seem like emergency. I've never had skin cancer if that is what it is or might not be that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Dose 2 — Moderna
2021-03-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: After first vaccine, I had a cyst on my back. Taking prescribed Augmentin. It's getting better. I'm tied today because my Dr ordered a fasting blood test for today and didn't sleep much so I'm not sure my symptoms are at all related to the Modena vaccines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache might be caused because I couldn't have my coffee yesterday. It's gone now that I had coffee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tried from changing the clocks i think

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Call 1 — Could Not Reach Participant
2021-09-20
Call 2 — Left Voicemail
2021-09-21
Call successful
Participant prefers to complete VAERS report online
2021-10-22
Dose 3 — Moderna
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Free text: Injection site from very painful to better in several hours

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain

Free text: Constipation

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
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Pulmonary pain, Respiratory tract irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: I took a home test in Feb and April 18 as my lungs felt like they were hurting feeling raw, but tests were negative and it may have been the dust storm events we were having in Las Vegas.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Dose 4 — Pfizer-BioNTech
2022-05-11
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Poor · 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: Fever, dry cough, no sense of smell or taste. Very uncomfortable. Exhausted

Adult check-in · check-in free text available
2022-12-24
Call case (no matching report) — Successful
Completed over the phone
2022-12-28
Call 2 — Left Voicemail
2023-03-25
Survey response — 6 months, dose 5
MedDRA: Bronchitis, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-25
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call successful
Completed over the phone
2023-03-28
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna
3	2021-10-22	Moderna	No
4	2022-05-10	Pfizer-BioNTech	No
5	2022-09-22	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-03-01

Symptoms: I had a round small circle that was hard and flat for 2 yrs. Now it has risen into a bump that i can feel when on my back or otherwise. It's worrying me and I'll see a PMC Dr and ask for a referral to dermatologist this week.

Healthcare visit (other): Can't get in yet. Doesn't seem like emergency. I've never had skin cancer if that is what it is or might not be that.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): After first vaccine, I had a cyst on my back. Taking prescribed Augmentin. It's getting better. I'm tied today because my Dr ordered a fasting blood test for today and didn't sleep much so I'm not sure my symptoms are at all related to the Modena vaccines

2021-03-12

Systemic reaction (other): Headache might be caused because I couldn't have my coffee yesterday. It's gone now that I had coffee.

Release 5 — day 7, dose 2

2021-03-15

Systemic reaction (other): Tried from changing the clocks i think

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Injection site from very painful to better in several hours

2021-10-27

Systemic reaction (other): Constipation

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: I took a home test in Feb and April 18 as my lungs felt like they were hurting feeling raw, but tests were negative and it may have been the dust storm events we were having in Las Vegas.

Release 11 — days 1–6 daily, dose 4

2022-05-11

Systemic reaction (other): Runny nose

Release 12 — 3 months, dose 5

2022-12-24

Symptoms: Fever, dry cough, no sense of smell or taste. Very uncomfortable. Exhausted

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	Bronchitis	·	·	✓
SD	Pulmonary pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract irritation	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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