4ZV-19612-69398

4 vaccinations 20 coded responses 49 check-ins 19 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 902 / CA
Registered: 2021-04-16

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
2611562 (opens in a new window)	high	10 / 11	0	2 of 8 VAERS symptoms	same dose (4)	CA matches	2022-10-06 / 2023-01-01 / 2023-04-07 received the same day as the last call	case 468898

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

2021-04-03
Dose 1 — Janssen/Johnson & Johnson
2021-04-16
Registered in v-safe
2021-04-17
Survey response — day 14, dose 1
MedDRA: Chest pain, Chills, Cognitive disorder, Cough, Dyspnoea, Fatigue, Headache, Pyrexia, Visual impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, shortness of breath, fever, chills, fatigue, vision issues, chest pain, cognitive impairment, dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-03
Dose 2 — Moderna
2021-12-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Swollen/tender lymph glands

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Armpit lymph gland is still swollen and tender

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Armpit lymph gland swelling has gone down some

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-07
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Night sweats, Taste disorder — Feeling: Good

Free text: Piercing headaches, occasional fatigue, dulled/distorted sense of taste, night sweats

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — day 42, dose 2
MedDRA: Chest discomfort, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose, sneezing, minor chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-04
Dose 3 — Pfizer-BioNTech
2022-05-04
Health check-in — day 0, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swelling & pain of left armpit lymph gland

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Moderate swelling of the left armpit lymph node; mild swelling of the right armpit lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Lymphadenopathy — Feeling: Poor · Headache, Muscle or body aches, Nausea

Free text: Chest tightness; minor swelling of both armpit lymph glands

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Headache, Nausea

Free text: Mild swelling of armpit lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-11
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Left armpit lymph is swollen again, but not a lot

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-06
Dose 4 — Moderna
2022-10-06
Health check-in — day 0, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-08
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Left armpit lymph gland swollen; like an egg

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Left armpit lymph gland swollen-egg size; cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: Left armpit lymph gland swollen; golf-ball size

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lymphadenopathy — Feeling: Good

Free text: Persistent cough; left armpit lymph gland swollen-golf ball size

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lymphadenopathy — Feeling: Good

Free text: Persistent dry cough; left armpit lymph gland swollen; walnut size

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — day 7, dose 4
MedDRA: Cough, Lymphadenopathy — Feeling: Good · Diarrhea

Free text: Persistent dry cough; left armpit lymph gland swollen-walnut size

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-10
Survey response — day 35, dose 4
MedDRA: Cough — Feeling: Fair

Free text: Persistent dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — day 42, dose 4
MedDRA: Cough, Upper-airway cough syndrome — Feeling: Fair

Free text: Can't shake the cough, and post-nasal drip

MedDRA releases: 2024-11 · check-in free text available
2023-01-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-06
Survey response — 6 months, dose 4
MedDRA: Cardiac disorder, Dizziness, Fatigue, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-06
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-07
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Janssen/Johnson & Johnson
2	2021-12-03	Moderna	No
3	2022-05-04	Pfizer-BioNTech	No
4	2022-10-06	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-17

Symptoms: Headache, shortness of breath, fever, chills, fatigue, vision issues, chest pain, cognitive impairment, dry cough

Release 10 — days 1–6 daily, dose 2

2021-12-05

Systemic reaction (other): Swollen/tender lymph glands

2021-12-06

Systemic reaction (other): Armpit lymph gland is still swollen and tender

2021-12-07

Systemic reaction (other): Armpit lymph gland swelling has gone down some

Release 10 — day 35, dose 2

2022-01-07

Symptoms: Piercing headaches, occasional fatigue, dulled/distorted sense of taste, night sweats

Release 10 — day 42, dose 2

2022-01-14

Symptoms: Runny nose, sneezing, minor chest tightness

Release 11 — days 1–6 daily, dose 3

2022-05-06

Systemic reaction (other): Swelling & pain of left armpit lymph gland

2022-05-07

Systemic reaction (other): Moderate swelling of the left armpit lymph node; mild swelling of the right armpit lymph node

2022-05-08

Systemic reaction (other): Chest tightness; minor swelling of both armpit lymph glands

2022-05-09

Systemic reaction (other): Mild swelling of armpit lymph nodes

Release 11 — day 7, dose 3

2022-05-11

Systemic reaction (other): Left armpit lymph is swollen again, but not a lot

Release 12 — days 1–6 daily, dose 4

2022-10-08

Systemic reaction (other): Left armpit lymph gland swollen; like an egg

2022-10-09

Systemic reaction (other): Left armpit lymph gland swollen-egg size; cough

2022-10-10

Systemic reaction (other): Left armpit lymph gland swollen; golf-ball size

2022-10-11

Systemic reaction (other): Persistent cough; left armpit lymph gland swollen-golf ball size

2022-10-12

Systemic reaction (other): Persistent dry cough; left armpit lymph gland swollen; walnut size

Release 12 — day 7, dose 4

2022-10-13

Systemic reaction (other): Persistent dry cough; left armpit lymph gland swollen-walnut size

Release 12 — day 35, dose 4

2022-11-10

Symptoms: Persistent dry cough

Release 12 — day 42, dose 4

2022-11-17

Symptoms: Can't shake the cough, and post-nasal drip

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	Cardiac disorder	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Taste disorder	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Cough	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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