5C5-13614-68014

3 vaccinations 7 coded responses 21 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 190 / PA
Registered: 2021-01-07

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
2528866 (opens in a new window)	high	10 / 11	2	3 of 9 VAERS symptoms	same dose (1)	NJ differs	2021-01-07 / 2021-01-07 / 2022-12-12 received the same day as the last call	case 88405

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-07
Report sent to call center — day 0, dose 1
Be unable to work

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Joint pains

Free text: Left knee down to foot feels a little numb and disjointed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Hyperventilation, Myalgia, Paraesthesia — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Similar to the first day, I felt good until this afternoon, where an overwhelming feeling similar to hyperventilating overcame me. My body tingled from my head to the bottoms of my feet. MyBody felt heavy and muscles ached. After an hours worth of rest, the feeling subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Headache, Initial insomnia, Insomnia, Irritability, Medical observation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I nurse an 11 month. Noticed she has had some signs of irritability, trouble falling asleep, and loose stools similar to me. Ive had headaches and diarrhea as well since shot.She eats same food as older sister; sister doesnt have any issues. · Healthcare visit (other): Consulted with pediatrician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Spinal disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Especially in my spine. Also difficulty sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-26
Call 1 — Left Voicemail
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Fatigue, Hypoaesthesia, Nasopharyngitis — Feeling: Good

Free text: Numbness on right side, cold symptoms, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-09
Dose 3 — Moderna
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Hyperhidrosis, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Excessive sweat and wrist pain. I thought this was connected to post breast feeding after the first shots, however, the sweating, wrist and arm pain came back again full on after the booster

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Survey response — 12 months, dose 3
MedDRA: Respiratory symptom — Feeling: Fair · 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: RSV symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Report sent to call center — 12 months, dose 3
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)
2022-12-12
Call successful
Completed over the phone
2022-12-12
Call successful
Completed over the phone
2022-12-12
Call successful
Completed over the phone
2022-12-12
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-12-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-07	Successful 2022-12-12	Completed over the phone
2021-01-09	Successful 2022-12-12	Completed over the phone
2021-01-21	Successful 2022-12-12	Completed over the phone
2022-12-10	Successful 2022-12-12	Does not wish to fill out VAERS report

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Left knee down to foot feels a little numb and disjointed

2021-01-09

Systemic reaction (other): Similar to the first day, I felt good until this afternoon, where an overwhelming feeling similar to hyperventilating overcame me. My body tingled from my head to the bottoms of my feet. MyBody felt heavy and muscles ached. After an hours worth of rest, the feeling subsided.

Release 2 — day 14, dose 1

2021-01-21

Symptoms: I nurse an 11 month. Noticed she has had some signs of irritability, trouble falling asleep, and loose stools similar to me. Ive had headaches and diarrhea as well since shot.She eats same food as older sister; sister doesnt have any issues.

Healthcare visit (other): Consulted with pediatrician

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Especially in my spine. Also difficulty sleeping

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Numbness on right side, cold symptoms, fatigue

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Excessive sweat and wrist pain. I thought this was connected to post breast feeding after the first shots, however, the sweating, wrist and arm pain came back again full on after the booster

Release 12 — 12 months, dose 3

2022-12-10

Symptoms: RSV symptoms

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	Medical observation	✓	✓	○
HCVO	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	○
SD	Hyperhidrosis	·	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Initial insomnia	·	·	✓
SD	Insomnia	✓	✓	○
SD	Irritability	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory symptom	·	·	✓
SRO	Discomfort	✓	✓	✓
SRO	Hyperventilation	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Spinal disorder	✓	·	✓

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