5EM-29506-71449

4 vaccinations 17 coded responses 28 check-ins 16 free-text entries 8 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 060 / CT
Registered: 2021-02-14

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
2177864 (opens in a new window)	high	11 / 11	4	3 of 4 VAERS symptoms	same dose (2)	CT matches	2021-03-12 / 2021-06-01 / 2022-03-14 received the same day as the last call	case 331316

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

2021-02-13
Dose 1 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Pyrexia, Self-medication — Feeling: Good · Chills · Be unable to do your normal daily activities

Free text: Had chills Friday night, temperature Saturday as high as 101 took Tylenol 3 times Saturday fever resolved 9am Sunday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature fluctuation — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Temperature under 97 until 10am. Then 97.7.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose fluctuation, Diarrhoea, Office visit — Feeling: Good · Diarrhea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Had loose stools in Im yesterday and this morning not actual diarrhea. Blood sugar going up and down last two days also. · Healthcare visit (other): Went to doctors office regarding blood sugar results.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good

Free text: Mild headache, lasting about half an hour. Not every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chills last night, also fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Full blood count abnormal, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Blood count fluctuating, not on medication. Dr thinks stress related · Healthcare visit (other): Office visit yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Survey response — day 28, dose 2
MedDRA: Blood glucose fluctuation, Blood pressure fluctuation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fluctuating blood pressure and blood sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Slight headache, tiredness,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 42, dose 2
MedDRA: Headache, Medical counselling, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mild headaches. Heart palpitations · Healthcare visit (other): Cardiologist advised taking extra medication

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Blood pressure increased, Dizziness, Fatigue, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Intermittent Light headed, blood pressure elevated, fatigue. Can skip one day or several. · Healthcare visit (other): Im person dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Blood pressure fluctuation — Feeling: Good · Be unable to do your normal daily activities

Free text: Blood pressure fluctuations

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Dose 3 — Moderna
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Blood pressure increased, Dizziness, Ocular discomfort, 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, Emergency room or emergency department visit

Free text: Symptoms: Slight light headed, pressure around eyes. Rise in blood pressure · Healthcare visit (other): Cat scan. Mri.

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-14
Call successful
Does not wish to fill out VAERS report
2022-03-14
Call successful
Completed over the phone
2022-03-14
Call successful
Completed over the phone
2022-03-14
Call successful
Completed over the phone
2022-03-14
Call successful
Completed over the phone
2022-05-10
Dose 4 — Moderna
2022-08-09
Survey response — 3 months, dose 4
MedDRA: Dizziness, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Light headed · Healthcare visit (other): Headache specialist, mri cat scan etc

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-10
Call successful
Completed over the phone
2022-08-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-10
Survey response — 12 months, dose 4
MedDRA: Discomfort, Dizziness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-10
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-11
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-12	Moderna
3	2021-11-16	Moderna	No
4	2022-05-10	Moderna	No

Call center

8 call center cases

8 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Had chills Friday night, temperature Saturday as high as 101 took Tylenol 3 times Saturday fever resolved 9am Sunday

2021-02-15

Systemic reaction (other): Temperature under 97 until 10am. Then 97.7.

2021-02-18

Systemic reaction (other): Had loose stools in Im yesterday and this morning not actual diarrhea. Blood sugar going up and down last two days also.

Healthcare visit (other): Went to doctors office regarding blood sugar results.

Release 5 — day 21, dose 1

2021-03-06

Symptoms: Mild headache, lasting about half an hour. Not every day.

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Chills last night, also fatigue

2021-03-15

Systemic reaction (other): No

2021-03-16

Systemic reaction (other): No

2021-03-18

Systemic reaction (other): Blood count fluctuating, not on medication. Dr thinks stress related

Healthcare visit (other): Office visit yesterday

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Fluctuating blood pressure and blood sugar

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Slight headache, tiredness,

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Mild headaches. Heart palpitations

Healthcare visit (other): Cardiologist advised taking extra medication

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Intermittent Light headed, blood pressure elevated, fatigue. Can skip one day or several.

Healthcare visit (other): Im person dr visit

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Blood pressure fluctuations

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Slight light headed, pressure around eyes. Rise in blood pressure

Healthcare visit (other): Cat scan. Mri.

Release 12 — 3 months, dose 4

2022-08-09

Symptoms: Light headed

Healthcare visit (other): Headache specialist, mri cat scan etc

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Blood glucose fluctuation	✓	✓	✓
SD	Blood pressure fluctuation	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Ocular discomfort	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	✓	✓	✓
SRO	Blood glucose fluctuation	✓	✓	✓
SRO	Body temperature fluctuation	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Full blood count abnormal	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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