5FK-30138-81034

4 vaccinations 6 coded responses 7 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 391 / MS
Registered: 2021-12-10

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
2564566 (opens in a new window)	medium	9 / 11	8	1 of 7 VAERS symptoms	same dose (4)	MS matches	2022-07-21 / 2022-07-24 / 2023-01-20 received the same day as the last call	case 1111057

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

2021-02-28
Dose 1 — Moderna
2021-03-30
Dose 2 — Moderna
2021-11-30
Dose 3 — Moderna
2021-12-10
Registered in v-safe
2021-12-10
Survey response — day 7, dose 3
MedDRA: Diarrhoea, Fatigue, Feeling abnormal, Headache, Sinus disorder — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Since the I received the booster I've been exhausted, and just feeling poorly. I also have had diarrhea once or twice a day. I've had headaches and sinus issues.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue, upset stomach and headache

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-15
Call 2 — Left Voicemail
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-01
Survey response — 3 months, dose 3
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-02
Call 1 — Left Voicemail
2022-06-02
Survey response — 6 months, dose 3
MedDRA: Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Loss of weight

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-03
Call 2 — Left Voicemail
2022-06-03
Call 1 — Left Voicemail
2022-06-03
Call successful
Participant prefers to complete VAERS report online
2022-06-03
Call successful
Participant prefers to complete VAERS report online
2022-06-03
Call successful
Participant prefers to complete VAERS report online
2022-06-04
Call 1 — Left Voicemail
2022-07-21
Dose 4 — Moderna
2022-10-20
Survey response — 3 months, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath. I've had this problem since the 3rd vaccine. I'm not sure if it caused asthma or not but I never had trouble before. Is there a program where I can file for benefits?

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-19
Survey response — 6 months, dose 4
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · 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
2023-01-19
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-20
Call successful
Completed over the phone
2023-01-20
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna	No
2	2021-03-30	Moderna	No
3	2021-11-30	Moderna	No
4	2022-07-21	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 10 — day 7, dose 3

2021-12-10

Systemic reaction (other): Since the I received the booster I've been exhausted, and just feeling poorly. I also have had diarrhea once or twice a day. I've had headaches and sinus issues.

Release 10 — day 14, dose 3

2021-12-14

Symptoms: Fatigue, upset stomach and headache

Release 11 — 3 months, dose 3

2022-03-01

Symptoms: Sinus infection

Release 11 — 6 months, dose 3

2022-06-02

Symptoms: Loss of weight

Release 12 — 3 months, dose 4

2022-10-20

Symptoms: Shortness of breath. I've had this problem since the 3rd vaccine. I'm not sure if it caused asthma or not but I never had trouble before. Is there a program where I can file for benefits?

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
SD	Abdominal discomfort	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	·	·	✓
SD	Sinusitis	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Headache	·	·	✓
SRO	Sinus disorder	·	·	✓

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