5DX-31411-54512

3 vaccinations 8 coded responses 19 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 372 / TN
Registered: 2021-01-27

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
1399490 (opens in a new window)	high	10 / 11	3	4 of 9 VAERS symptoms	same dose (2)	TN matches	2021-01-27 / 2021-01-28 / 2021-06-15 received the same day as the last call	case 604446

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

2020-12-30
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — day 0, dose 2
MedDRA: Anxiety, Chest discomfort, Lymphadenopathy, Pharyngeal swelling — Feeling: Fair · Site: Pain · Chills, Muscle or body aches

Free text: Swelling in throat (lymph nodes, chest tightness, anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Muscle contractions involuntary, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Fasciculations, sore throat,swollen glands in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Medical counselling, Psoriatic arthropathy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My psoriatic arthritis has flared up. · Healthcare visit (other): Called for appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-03-11
Survey response — day 42, dose 2
MedDRA: Epistaxis, Nasal crusting — Feeling: Good

Free text: I have been getting scabs in my nose and have had two profuse nose bleeds in the past two weeks. I have never had a nose bleed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Cough, Epistaxis, Mucosal inflammation, Office visit, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Coughing, nose bleeds, tachycardia, nasal sores I have no idea if this is related to a vaccine. I would like to know if I need to continue to be tested for Covid-19 or the different variants. Please call me for guidance on this. · Healthcare visit (other): Visit to rheumatologist and primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Requested Callback
2021-06-15
Callback requested for
01:00PM ET
2021-06-15
Call successful
Completed over the phone
2021-06-15
Call successful
Completed over the phone
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Cough, Hyperhidrosis, Muscle twitching — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The last few days, I have a fascinations (muscle twitching), cough, and sweating. I have not checked my temp.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-24
Dose 3 — Moderna
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Exposure to SARS-CoV-2, Influenza, Nasopharyngitis, Nausea, Tachycardia, Vomiting — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was exposed to Covid and ended up with flu and cold like symptoms. This lasted for 1 month. I have also experienced severe stomach pain with nausea and vomiting but no diagnosis. I've also had more tachycardia. I never tested positive wit a rapid t

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-17
Call 1 — Left Voicemail
2022-03-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-24
Survey response — 12 months, dose 3
MedDRA: Ageusia, Anosmia, Pyrexia, Sinus disorder — Feeling: Poor · Be unable to work or attend school, 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: Loss of taste/smell, fever, sinus symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-25
Call 1 — Left Voicemail
2022-11-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-11-24	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-10	Successful 2021-06-15	Completed over the phone
2021-04-28	Successful 2021-06-15	Completed over the phone
2022-02-25	Successful 2022-03-21	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-11-24	Successful 2022-11-28	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Swelling in throat (lymph nodes, chest tightness, anxiety

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Fasciculations, sore throat,swollen glands in neck

Release 4 — day 14, dose 2

2021-02-10

Symptoms: My psoriatic arthritis has flared up.

Healthcare visit (other): Called for appointment

Release 5 — day 42, dose 2

2021-03-11

Symptoms: I have been getting scabs in my nose and have had two profuse nose bleeds in the past two weeks. I have never had a nose bleed.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Coughing, nose bleeds, tachycardia, nasal sores I have no idea if this is related to a vaccine. I would like to know if I need to continue to be tested for Covid-19 or the different variants. Please call me for guidance on this.

Healthcare visit (other): Visit to rheumatologist and primary care doctor

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: The last few days, I have a fascinations (muscle twitching), cough, and sweating. I have not checked my temp.

Release 11 — 3 months, dose 3

2022-02-25

Symptoms: I was exposed to Covid and ended up with flu and cold like symptoms. This lasted for 1 month. I have also experienced severe stomach pain with nausea and vomiting but no diagnosis. I've also had more tachycardia. I never tested positive wit a rapid t cut off by CDC

Release 12 — 12 months, dose 3

2022-11-24

Symptoms: Loss of taste/smell, fever, sinus 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 counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Cough	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Hyperhidrosis	✓	·	✓
SD	Influenza	·	·	✓
SD	Mucosal inflammation	✓	✓	✓
SD	Muscle twitching	✓	·	✓
SD	Nasal crusting	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Psoriatic arthropathy	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Tachycardia	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle contractions involuntary	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓

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