5FL-13472-87087

4 vaccinations 10 coded responses 25 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 145 / NY
Registered: 2021-02-16

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
1415469 (opens in a new window)	high	9 / 11	3	1 of 6 VAERS symptoms	same dose (2)	NY matches	2021-03-15 / 2021-03-17 / 2021-06-21 received the same day as the last call	case 785238

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

2021-02-15
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Occasional dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Visual impairment — Feeling: Fair · Headache, Joint pains, Nausea, Diarrhea

Free text: Dizziness and visual distortions

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

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-01
Survey response — day 14, dose 1
MedDRA: Blood glucose increased, Hypertension, Rash — 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: Glucose was very high. Had trouble getting it down. BP was also higher than usual too. Also having a rash on girl parts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-22
Survey response — day 7, dose 2
MedDRA: Hypertension — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: High BP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 14, dose 2
MedDRA: Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: More pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Survey response — day 28, dose 2
MedDRA: Bone pain, Myalgia, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Bone and muscle pain · Healthcare visit (other): Doctors office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Survey response — 3 months, dose 2
MedDRA: Fatigue, Inflammation, Musculoskeletal stiffness, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflamed, stiff knees and lower back. General pain all over. Some days better than others. Tired all of the time. Doc prescribed gabapentin and Im also taking CBD drops and together they are helping somewhat. · Healthcare visit (other): Office visit appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Requested Callback
2021-06-21
Callback requested for
05:00PM ET
2021-06-21
Call successful
Completed over the phone
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-03
Dose 3 — Pfizer-BioNTech
2022-03-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-29
Dose 4 — Pfizer-BioNTech
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-13
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-04
Survey response — day 35, dose 4
MedDRA: Abdominal pain lower, Hypoaesthesia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Hands/arms, feet/legs & face getting numb intermittently. Lower abdomen pain. Nausea but not vomiting -yet

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Survey response — day 42, dose 4
MedDRA: Dizziness, Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness and tingling numbness in arms and legs

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Survey response — 3 months, dose 4
MedDRA: Cerebrovascular accident, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More and more body pain and had a stroke · Healthcare visit (other): In office visit

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
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

1 call case(s)
2022-12-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna
3	2022-01-03	Pfizer-BioNTech	No
4	2022-09-29	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Occasional dizziness

2021-02-20

Systemic reaction (other): Dizziness and visual distortions

Release 4 — day 14, dose 1

2021-03-01

Symptoms: Glucose was very high. Had trouble getting it down. BP was also higher than usual too. Also having a rash on girl parts

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): High BP

Release 6 — day 14, dose 2

2021-03-29

Symptoms: More pain

Release 7 — day 28, dose 2

2021-04-12

Symptoms: Bone and muscle pain

Healthcare visit (other): Doctors office visit

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Inflamed, stiff knees and lower back. General pain all over. Some days better than others. Tired all of the time. Doc prescribed gabapentin and Im also taking CBD drops and together they are helping somewhat.

Healthcare visit (other): Office visit appointment

Release 12 — day 35, dose 4

2022-11-04

Symptoms: Hands/arms, feet/legs & face getting numb intermittently. Lower abdomen pain. Nausea but not vomiting -yet

Release 12 — day 42, dose 4

2022-11-10

Symptoms: Dizziness and tingling numbness in arms and legs

Release 12 — 3 months, dose 4

2022-12-29

Symptoms: More and more body pain and had a stroke

Healthcare visit (other): In office visit

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	Office visit	✓	✓	✓
SD	Abdominal pain lower	·	·	✓
SD	Blood glucose increased	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Cerebrovascular accident	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Rash	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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