5AV-91577-61808

5 vaccinations 22 coded responses 56 check-ins 20 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-01-20

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
1415215 (opens in a new window)	high	10 / 11	8	5 of 13 VAERS symptoms	same dose (2)	OR matches	2021-02-19 / 2021-02-19 / 2021-06-21 received the same day as the last call	case 329469

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Blood pressure higher than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-01-27
Survey response — day 7, dose 1
MedDRA: Hot flush — Feeling: Good

Free text: Hot flashes today, but temp only 97.2. I don,t normally get hot flashes, 75 yo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Rash, Rash papular, Unevaluable event, Urticaria — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Rash is on the arm but goes beyond the site and is raised and has a few bumps. Reminds me of hives Ive seen. Never had hives before. Size is 4 inch by 8 inch. · Healthcare visit (other): I called the clinic admin office 2 hours ago to find out if i needed to do anything. No one has called back yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Joint pains

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Redness, Itching

Free text: Pain in shoulder above vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-06
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Headache, Myalgia, Neck pain, Pain in extremity — Feeling: Good

Free text: Mild joint and muscle pain neck, upper back and legs. Minor haedaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 21, dose 2
MedDRA: Back pain, Chiropractic, Myofascial pain syndrome, Office visit, Sciatica — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sciatica increased pain level · Healthcare visit (other): Chiropractic and myofascial relief

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 28, dose 2
MedDRA: Gastrointestinal pain, Muscle spasms — Feeling: Good

Free text: Severe cramping in one foot. Gastrointestinal cramping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 35, dose 2
MedDRA: Rash, Skin mass — Feeling: Good

Free text: Skin bumps on back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Cough, Gastrointestinal disorder, Headache, Pruritus, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Slight cough, skin irritations (did not have before), itching eyelids, gastrointestinal problems · Healthcare visit (other): Mentioned in tele visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Completed over the phone
2021-06-21
Call successful
Completed over the phone
2021-06-21
Call successful
Completed over the phone
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Headache, Skin disorder — Feeling: Good

Free text: Skin problems, headaches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-04
Dose 3 — Moderna
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Weight increased — Feeling: Good

Free text: Weight gain

MedDRA releases: 2024-11 · check-in free text available
2022-03-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Dose 4 — Pfizer-BioNTech
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-23
Survey response — days 1–6 daily, dose 4
MedDRA: Dehydration — Feeling: Good

Free text: A little dehydrated

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-10
Survey response — day 21, dose 4
MedDRA: Dyspnoea, Unevaluable event — Feeling: Fair

Free text: Shortness of breath, stomach

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Survey response — day 28, dose 4
MedDRA: Diverticulum, Hospitalisation — Feeling: Fair · Be unable to work or attend school

Free text: Diverticulosis. In-patient

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-19
Survey response — 3 months, dose 4
MedDRA: Diverticulitis, Hospitalisation — Feeling: Good · Be unable to work or attend school

Free text: Diverticuitis eas hospitalizef

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Dose 5 — Pfizer-BioNTech
2022-10-08
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-09
Survey response — days 1–6 daily, dose 5
MedDRA: Somnolence — Feeling: Poor · Site: Pain · 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: Sleeping

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-22
Survey response — day 14, dose 5
MedDRA: Stomatitis — Feeling: Good

Free text: Internal mouth sores

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 28, dose 5
MedDRA: Pharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Throat infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-19
Survey response — day 42, dose 5
MedDRA: Fatigue — Feeling: Good

Free text: Tired

MedDRA releases: 2024-11 · check-in free text available
2023-01-07
Survey response — 3 months, dose 5
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11
2023-04-08
Survey response — 6 months, dose 5
MedDRA: Cough, Influenza, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-08
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-10
Call 1 — Left Voicemail
2023-04-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-19	Moderna
3	2021-12-04	Moderna	No
4	2022-05-20	Pfizer-BioNTech	No
5	2022-10-08	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Blood pressure higher than normal

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Hot flashes today, but temp only 97.2. I don,t normally get hot flashes, 75 yo

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Shortness of breath

2021-02-22

Systemic reaction (other): Rash is on the arm but goes beyond the site and is raised and has a few bumps. Reminds me of hives Ive seen. Never had hives before. Size is 4 inch by 8 inch.

Healthcare visit (other): I called the clinic admin office 2 hours ago to find out if i needed to do anything. No one has called back yet

2021-02-24

Systemic reaction (other): Pain in shoulder above vaccine

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Mild joint and muscle pain neck, upper back and legs. Minor haedaches

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Sciatica increased pain level

Healthcare visit (other): Chiropractic and myofascial relief

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Severe cramping in one foot. Gastrointestinal cramping.

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Skin bumps on back

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Slight cough, skin irritations (did not have before), itching eyelids, gastrointestinal problems

Healthcare visit (other): Mentioned in tele visit

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Skin problems, headaches

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Weight gain

Release 11 — days 1–6 daily, dose 4

2022-05-23

Systemic reaction (other): A little dehydrated

Release 12 — day 21, dose 4

2022-06-10

Symptoms: Shortness of breath, stomach

Release 12 — day 28, dose 4

2022-06-17

Symptoms: Diverticulosis. In-patient

Release 12 — 3 months, dose 4

2022-08-19

Symptoms: Diverticuitis eas hospitalizef

Release 12 — days 1–6 daily, dose 5

2022-10-09

Systemic reaction (other): Sleeping

Release 12 — day 14, dose 5

2022-10-22

Symptoms: Internal mouth sores

Release 12 — day 28, dose 5

2022-11-05

Symptoms: Throat infection

Release 12 — day 42, dose 5

2022-11-19

Symptoms: Tired

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	Chiropractic	○	✓	○
HCVO	Myofascial pain syndrome	○	✓	○
HCVO	Office visit	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Diverticulum	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Influenza	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pharyngitis	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sciatica	✓	·	✓
SD	Skin disorder	✓	·	✓
SD	Skin mass	○	✓	○
SD	Stomatitis	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Weight increased	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dehydration	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Injection site reaction	✓	·	✓
SRO	Rash	✓	✓	✓
SRO	Rash papular	✓	·	✓
SRO	Somnolence	·	·	✓
SRO	Urticaria	✓	·	✓

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