577-14341-40872

4 vaccinations 11 coded responses 33 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 488 / MI
Registered: 2021-03-07

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
1759621 (opens in a new window)	high	10 / 11	-3	1 of 4 VAERS symptoms	same dose (1)	MI matches	2021-03-06 / 2021-03-15 / 2021-10-04 received 198 days after the last call	case 369079

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

2021-03-06
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Sacral pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sorethroat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sorethroat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 14, dose 1
MedDRA: Chronic obstructive pulmonary disease, Ear pain, Oropharyngeal pain, Steroid activity, Swelling face, Swollen tongue, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Exacerbation of copd, severe ear ache and facial swelling with marble size lump under tongue and cont sore throat. · Healthcare visit (other): Steroid and zpack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Aggravation of COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Dyspnoea, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dyspnea related to exacerbation of COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: COPD flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 2
MedDRA: Chronic obstructive pulmonary disease, Pre-existing disease — Feeling: Fair

Free text: Cont. Copd exacerbation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 42, dose 2
MedDRA: Chronic obstructive pulmonary disease, Fatigue, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exacerbation of COPD, and leg swelling extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lump on my tongue, to see oral surgeon in dec. · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-04
Call 1 — Left Voicemail
2021-10-04
Call successful
Completed over the phone
2021-11-15
Dose 3 — Moderna
2022-04-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Moderna
2022-04-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-11
Survey response — 6 months, dose 4
MedDRA: Abdominal pain, Dehydration, Diarrhoea, Emergency care — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had diarrhea since 9/28 and abdominal pain went to ER 10/07 dehydrated. F/U appt tomarrow with my pa.

MedDRA releases: 2024-11 · check-in free text available
2023-04-12
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-11-15	Moderna	No
4	2022-04-12	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Sore throat

2021-03-12

Systemic reaction (other): Sorethroat

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Sorethroat

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Exacerbation of copd, severe ear ache and facial swelling with marble size lump under tongue and cont sore throat.

Healthcare visit (other): Steroid and zpack

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Aggravation of COPD

2021-04-08

Systemic reaction (other): Dyspnea related to exacerbation of COPD

2021-04-09

Systemic reaction (other): COPD flare up

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): Cont. Copd exacerbation

Release 8 — day 42, dose 2

2021-05-15

Symptoms: Exacerbation of COPD, and leg swelling extreme fatigue

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Lump on my tongue, to see oral surgeon in dec.

Healthcare visit (other): Dentist

Release 12 — 6 months, dose 4

2022-10-11

Symptoms: I have had diarrhea since 9/28 and abdominal pain went to ER 10/07 dehydrated. F/U appt tomarrow with my pa.

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	Office visit	·	·	✓
HCVO	Steroid activity	○	✓	○
HCVO	Unevaluable event	✓	·	✓
SD	Abdominal pain	·	·	✓
SD	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Dehydration	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Mass	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Swollen tongue	✓	✓	✓
SRO	Chronic obstructive pulmonary disease	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sacral pain	✓	✓	○

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